Brooklyn Ophthalmology PLLC
NPI 1104205780ActiveOrganization· Ophthalmology· Brooklyn, NY
Ophthalmology in Brooklyn, New York, registered in NPPES in May 2015. The authorized official on file is Daniel K. Khodadadian, MD, Ceo President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104205780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2015 |
| Last updated in NPPES | Jan 25, 2024 |
| Certified by provider | Jan 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 206436 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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