Active NPI
Linden Eye Care Inc
- Optometrist
- New York, NY
National Provider Identifier
1053279778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LINDEN EYE CARE INC
- Practice address
- 5041 Broadway
New York, NY 10034-1160 - Phone
- (646) 869-2144
- Fax
- (929) 229-1081
- NPI assigned
- Jan 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrey Gan
- Title
- President
- Phone
- (718) 902-9592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
5041 Broadway
New York, NY 10034-1160
Mailing address
2084 Linden Blvd
Brooklyn, NY 11207-7412
Phone (718) 272-3700
Other names 1
- Med Alliance Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151223000921 | NY | Part B Supplier - Clinic/Group Practice | 8325349947 |
Receives reassigned benefits from 4 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Brooklyn, NY; New York, NY; Rego Park, NY |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Linden Eye Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Rego Park, NY
- NPI 1245198969
-
- Optometrist
- Bronx, NY
- NPI 1316508989
-
- Optometrist
- Brooklyn, NY
- NPI 1932582897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1053279778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077412",
"telephone_number": "718-272-3700",
"fax_number": "929-229-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5041 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341160",
"telephone_number": "646-869-2144",
"fax_number": "929-229-1081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDEN EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "GAN",
"authorized_official_first_name": "ANDREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-902-9592"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Med Alliance Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.