Active NPI
Markiel Yakubov, O.D.
- Optometrist
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007877-1
- Practice address
- 105 81St Ave
Kew Gardens, NY 11415-1107 - Phone
- (347) 403-3877
- NPI assigned
- Jun 20, 2012
- Last updated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007877-1 | NY | Primary |
Addresses
Primary practice location
105 81St Ave
Kew Gardens, NY 11415-1107
Mailing address
105 81St Ave
Kew Gardens, NY 11415-1107
Phone (347) 403-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA, AR, OH, NH, VA, MI, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Landmark Dr
Stuart, VA 24171-9401
Phone (718) 534-0689
1975 White Dr
Batesville, AR 72501-9391
Phone (718) 534-0689
19840 Harper Ave
Harper Woods, MI 48225-1804
Phone (718) 534-0689
250 Skillman St
Brooklyn, NY 11205-1218
275 Moriches Rd
Saint James, NY 11780-2150
Phone (718) 963-3495
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007877-1 | NY | MD | Optometrist |
| 007877 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler-Drakes Eyecare LLC | Optometrist | Current | Accepting new patients |
| Chandler-Drakes Eyecare LLC | Optometrist | Current | Accepting new patients |
| Family Optometry Care PC | Optometrist | Past | Accepting new patients |
Locations
111 Headwaters Dr
Harwich, MA 02645
Phone (508) 430-1717
393 Broadway
Brooklyn, NY 11211
Phone (516) 984-9692
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Bronx, NY
- NPI 1447608732
-
- Optometrist
- New York, NY
- NPI 1417415886
-
dba Stamford Family Vision Center
- Optometrist
- Stamford, CT
- NPI 1710608971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1881957249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 81ST AVE",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151107",
"telephone_number": "347-403-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 81ST AVE",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151107",
"telephone_number": "347-403-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUBOV",
"first_name": "MARKIEL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007877-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.