Millenia Vision Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008217 Issued in NY

Legal business name

MILLENIA VISION CORP

Practice address

469 W 125TH St
New York, NY 10027-4201

Phone

(646) 767-1951

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Nathan Yakubov

Title

Owner

Phone

(646) 767-1951

Specialties & licenses 2

Addresses

Other names 1

• Millenia Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadezhda Belous, OD

  • Optometrist
  • New York City, NY
  • NPI 1972607547
  Medicare reassignment NPD
• Lucy Zhu, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1912560319
  Medicare reassignment NPD
• Lisa Wang

  • Pharmacist
  • New York, NY
  • NPI 1578180204
  NPD
• Yu NA Jung

  • Pharmacist
  • New York, NY
  • NPI 1861997785
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801323209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274201",
            "telephone_number": "646-767-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274201",
            "telephone_number": "646-767-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIA VISION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-767-1951"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008217",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millenia Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millenia Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina G. Millard, N.P.
• Catherine Araneta Millares-Sipin, PHARM.D, BCPS, BCACP
• Millbasin Radiology PC
• Mikella Millen, MA, LCAT, ATR-BC
• Millenia RX Corp
• Millennial Plastic Surgery PLLC
• Millennial Plastic Surgery PLLC
• Millennium Acupuncture P.C
• Millennium Advanced Professionals LLC
• Millennium Facial Plastic Surgery, PLLC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.