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

Julia Poltilov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295470045

Julia Poltilov is an Optometry in Flushing, New York. Qualified in 2022, 4 years ago. Practices with Bsd Optometry PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

7259 Kissena Blvd Ste 1
Flushing, NY 11367-2165
Phone: (718) 263-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 009534 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295470045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address20504 Hillside Ave, Hollis, NY 11423-2218

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bsd Optometry Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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