Dr. Diana Ilyasova is a Bronx, New York based female Optometrist with 15 years of experience in Optometry. She completed her graduation from State University Of New York - State College Optometry in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Diana Ilyasova is TUV007417 for Optometry in New York. Dr. Diana Ilyasova examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Diana Ilyasova speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
15+ years
Medical School Attended:
State University Of New York - State College Optometry
Graduation Year:
2009
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
731 Lydig Ave, Bronx, New York, 10462-2103
Phone:
718-829-2160
Fax:
718-829-9502
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1658413752
Enrollment ID:
I20100128000221
NPI Number:
1629302658
NPI Enumeration Date:
23 Sep, 2009
NPI Last Update On:
17 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diana Ilyasova are as mentioned below.
License Number
Specialization
State
Status
TUV007417
Optometry
New York
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Diana Ilyasova has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pelham Parkway Vision Center Inc (6305938218)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Diana Ilyasova such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3185751
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7511 169th St, Fresh Meadows, New York
Zip:
11366-1337
Phone Number:
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Fax Number:
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Patients can reach Dr. Diana Ilyasova at 731 Lydig Ave, Bronx, New York or can call to book an appointment on 718-829-2160. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.