DR. INNA ILYASOVA
NPI 1225708944
Optometrist in Bronx, NY

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
731 LYDIG AVE, BRONX, NY 10462(718) 829-2160 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Inna Ilyasova NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. INNA ILYASOVA (NPI 1225708944) is an individual optometrist in Bronx, New York, licensed in New York (009470) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225708944
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. INNA ILYASOVA
Location Address731 LYDIG AVEBronx, NY 10462-2103
Mailing Address7739 169th StFresh Meadows, NY 11366-1307 · (917) 254-0847
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
NPI 1225708944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NY · 009470
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
731 LYDIG AVE, Bronx, NY 10462

Secondary Practice Location 1

Location 1680 BroadwayNew York, NY 10012-2322 · Phone (212) 614-0069

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Inna Ilyasova is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244628014
PECOS Enrollment IDI20211201000162
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
731 LYDIG AVE
BRONX, NY 10462
Optometrist
731 LYDIG AVE
BRONX, NY 10462
Optometrist (Vision Therapy)
731 LYDIG AVE
BRONX, NY 10462
Optometrist
731 LYDIG AVE
BRONX, NY 10462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inna Ilyasova's NPI number?

The NPI number for Inna Ilyasova is 1225708944. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Inna Ilyasova located?

Inna Ilyasova practices at 731 Lydig Ave, Bronx, NY 10462. The listed phone number is (718) 829-2160.

What is Inna Ilyasova's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Inna Ilyasova enrolled in Medicare?

Yes. Inna Ilyasova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Inna Ilyasova accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Inna Ilyasova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Inna Ilyasova was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.