Yelena Babayeva O.D. PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YELENA BABAYEVA O.D. PC

Practice address

10536 62ND Dr
Forest Hills, NY 11375-1136

Phone

(718) 275-1055

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yelena Babayeva, O.D.

Title

Optometrist

Phone

(718) 275-1055

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1669643326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 62ND DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751136",
            "telephone_number": "718-275-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 62ND DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751136",
            "telephone_number": "718-275-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA BABAYEVA O.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BABAYEVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-275-1055",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.