Yuliya Angelova, O.D.
Individual provider Active NPI Optometrist · Valley Stream, NY
NPI 1801865852 · NPPES record last updated Jun 7, 2010
Key facts
- NPI
- 1801865852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV006566 (NY)
- Practice address
- 10 E Merrick Rd
Suite 201
Valley Stream, NY 11580-6105 - Phone
- (516) 825-7455
- Fax
- (516) 825-1494
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ophthalmic Consultants of Long Island
Practice addresses (Care Compare)
279 Wyckoff Ave
Brooklyn, NY 11237-5389
Phone (718) 805-0700
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.83 of 100
- Quality
- 85
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 62.77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040329001772 | NY | Practitioner - Optometry | 3274425590 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006566 | NY | MD | Optometrist |
| 006566 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Consultants of Long Island | Current |
Accepting new patients | |
| Valley Stream Optometric Services PC | Optometrist | Current |
Accepting new patients |
| Ophthalmic Consultants of Long Island | Past | Accepting new patients | |
| Baldwin Optometry PC | Optometrist | Past |
Accepting new patients |
Locations
3127 41st St
Astoria, NY 11103
Phone (212) 353-9443
3127 41st St
#13292
Astoria, NY 11103
4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400
825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
132 E 76th St
Ofc 2D
New York, NY 10021
Phone (212) 505-2151
185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737
11915 Atlantic Ave
Richmond Hill, NY 11418
Phone (718) 456-0503
2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777
5 Sunrise Plz
Ste 101
Valley Stream, NY 11580
Phone (516) 825-7455
10 E Merrick Rd
Ste 201
Valley Stream, NY 11580
Phone (516) 825-7455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006566 | NY | Yes |
Addresses
Primary practice location
10 E Merrick Rd
Suite 201
Valley Stream, NY 11580-6105
Mailing address
10 E Merrick Rd
Suit 201
Valley Stream, NY 11580-6105
Phone (516) 825-7455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02387557 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1801865852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E MERRICK RD",
"address_2": "SUIT 201",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806105",
"telephone_number": "516-825-7455",
"fax_number": "516-825-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E MERRICK RD",
"address_2": "SUITE 201",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806105",
"telephone_number": "516-825-7455",
"fax_number": "516-825-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELOVA",
"first_name": "YULIYA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02387557",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
- Andrew Shapiro DPM & Michael Barkin DPM, LLP
- Danielle Shan Is Andrews
- Dionne Andrews
- Angel Touch Physical Therapy PC
- Micah Angela Angelitud
- Angels of Grace Wellness LLC
- Valentina Anikeyeva
- Annie Hwang PT P.C.
- Anova DME LLC
- Alexandra Anselmo
All providers in Valley Stream, NY · Optometrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.