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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (107 clinicians)

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 (group)
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 IDStateProvider typePAC IDDetails
I20040329001772 NY Practitioner - Optometry 3274425590 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
TUV006566NYMDOptometrist
006566NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Current
since Oct 1, 2022
Accepting new patients
Valley Stream Optometric Services PC Optometrist Current
since May 18, 2016
Accepting new patients
Ophthalmic Consultants of Long Island Past Accepting new patients
Baldwin Optometry PC Optometrist Past
since Mar 29, 2007
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02387557MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2010.

{
    "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

All providers in Valley Stream, NY · Optometrist in New York

Sources for this page

Verify at the official NPI Registry.