154 Montague Str LLC
NPI 1356166615ActiveOrganization· Optometrist· Brooklyn, NY
Optometrist in Brooklyn, New York, registered in NPPES in November 2024. The authorized official on file is Ernest Katsev, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356166615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2024 |
| Last updated in NPPES | Feb 3, 2025 |
| Certified by provider | Feb 3, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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