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SHOSHANA YAKUBOVA
NPI 1831921048
Optometrist in Forest Hills, NY

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment
6373 108TH ST, FOREST HILLS, NY 11375(718) 896-2020 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoshana Yakubova NPPES

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

SHOSHANA YAKUBOVA (NPI 1831921048) is an individual optometrist in Forest Hills, New York, licensed in New York (ORT010010) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2024).

NPPES Registry Identity

NPI1831921048
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHOSHANA YAKUBOVA
Location Address6373 108TH STForest Hills, NY 11375-1607
Mailing Address6351 Ellwell CresRego Park, NY 11374-4828 · (917) 605-0402
Phone(718) 896-2020
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2024
Enumeration DateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1831921048 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 · ORT010010
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.
6373 108TH ST, Forest Hills, NY 11375
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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

Shoshana Yakubova 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 ID8426576984
PECOS Enrollment IDI20250519001128
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 11375 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 5

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

DR. BORIS MICHAEL KAPELNIK O.D.
Optometrist
6373 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 896-2020
DR. OLGA SANDHU OD
Optometrist
6373 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 896-2020
GALINA NIYAZOV O.D.
Optometrist
6373 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 896-2020
GENERAL OPHTHALMOLOGY, P.C
Ophthalmology
6373 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 896-2020
MRS. ILONA GRIMBERG
Technician/Technologist (Optician)
6373 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 896-2020

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 Shoshana Yakubova's NPI number?

The NPI number for Shoshana Yakubova is 1831921048. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Shoshana Yakubova located?

Shoshana Yakubova practices at 6373 108th St, Forest Hills, NY 11375. The listed phone number is (718) 896-2020.

What is Shoshana Yakubova's specialty?

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

Is Shoshana Yakubova enrolled in Medicare?

Yes. Shoshana Yakubova 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.

When was this NPI record last updated?

The NPPES record for Shoshana Yakubova was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.