Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Yekaterina Yusupova, OD/MS

Individual provider Optometrist · NPI 1164802401

Dr. Yekaterina Yusupova, OD/MS is an Optometry in Brooklyn, New York. Graduated from New England College of Optometry in 2013, 13 years ago. Licensed in New York.

Years since qualifying
13
Trained at
New England College of Optometry
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

490 5th Ave
Brooklyn, NY 11215-8031
Phone: (718) 832-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV008258 (NY)

Record details

NPI number1164802401
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD/MS
Sole proprietorNo
NPI enumeratedJune 2, 2015
Last updated in NPPESJuly 19, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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