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

Dr. Inna Ilyasova

Individual provider Optometrist · NPI 1225708944

Dr. Inna Ilyasova is an Optometry in Bronx, New York. Qualified in 2021, 5 years ago. Practices with Pelham Parkway Vision Center Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

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

Additional practice locations (1)

  • 680 Broadway, New York, NY 10012-2322 — (212) 614-0069

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 009470 (NY)

Record details

NPI number1225708944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 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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