5623 Nyc Optical LLC
NPI 1043072770ActiveOrganization· Optometrist· Brooklyn, NY
Optometrist in Brooklyn, New York, registered in NPPES in January 2024. The authorized official on file is Elena Pak, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043072770 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2024 |
| Last updated in NPPES | Jan 20, 2025 |
| Certified by provider | Jan 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Optometrist providers in Brooklyn
- 1043069883
- 1427785930
- 1356166615
- 1801576509
- 1942050257
- 1619000874
- 1275208506
- 1093577710
- 1669109203
- 1568987972
- 1205283033
- 1679943005