Plaza Optical Centre, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

VUT005837 Issued in NY

Legal business name

PLAZA OPTICAL CENTRE, INC

Practice address

225 S 4TH St
Brooklyn, NY 11211-5692

Phone

(718) 384-4700

Fax

(718) 387-3139

NPI assigned

Jan 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dmitry Zagorodnyuk

Title

Owner

Phone

(718) 384-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlon Danilo Mendoza, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1578233359
  Medicare reassignment
• Robert J Ancona, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1518946243
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1104002088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115692",
            "telephone_number": "718-384-4700",
            "fax_number": "718-387-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115692",
            "telephone_number": "718-384-4700",
            "fax_number": "718-387-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA OPTICAL CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ZAGORODNYUK",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-384-4700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT005837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Foot Care P.C.
• Karin Johanna Plaza Lazo, MD
• Plaza Medical, P.C.
• Plaza One Medical Healthcare PC
• Plaza Optical
• Natalia Itxel Plaza, RDH
• Pleasant Dentistry P.C.
• William Andrew Pleasant, MD
• Nataliya Pleckaitis, MS
• Eliza Plenty, LCSW

• Eyewear Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.

Verify at the official NPI Registry.