Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Diana Ilyasova, OD

Individual provider Optometrist · NPI 1629302658

Dr. Diana Ilyasova, OD is an Optometry in Bronx, New York. Graduated from State University of New York - State College Optometry in 2009, 17 years ago. Practices with Pelham Parkway Vision Center Inc, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

731 Lydig Ave
Bronx, NY 10462-2103
Phone: (718) 829-2160
Fax: (718) 829-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007417 (NY)

Record details

NPI number1629302658
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Pelham Parkway Vision Center Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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