Brooklyn Ophthalmology PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

206436 Issued in NY

Legal business name

BROOKLYN OPHTHALMOLOGY PLLC

Practice address

4014 Church Ave
Brooklyn, NY 11203-2917

Phone

(718) 287-2020

Fax

(516) 829-2026

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel K Khodadadian, MDNPI 1336174374

Title

Ceo President

Phone

(718) 287-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Daniel K Khodadadian, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
  • NPI 1336174374
  Medicare reassignment Care Compare group NPD Authorized official
• Linda Cheng, O.D.

  • Optometrist
  • Flushing, NY
  • NPI 1457598534
  Medicare reassignment Care Compare group NPD
• Eileen J Kim, OD

  • Optometrist
  • Flushing, NY
  • NPI 1285707463
  Medicare reassignment Care Compare group NPD
• Bahram Alyeshmerni, M.D.

  • Ophthalmology Physician
  • Great Neck, NY
  • NPI 1215995139
  Medicare reassignment NPD
• Sheldon Rabin, M.D.

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1922192343
  Medicare reassignment NPD
• Robert Bergida, DDS

  • Dentist
  • Richmond Hill, NY
  • NPI 1033129903
  NPD (past)
• Seth M Faigen, D.M.D

  • Dentist
  • Richmond Hill, NY
  • NPI 1952694101
  NPD (past)
• Hamdam Rabiezadeh, LPN

  • Licensed Practical Nurse
  • Great Neck, NY
  • NPI 1821243130
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1104205780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FRANKLIN PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231229",
            "telephone_number": "718-287-2020",
            "fax_number": "718-287-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032917",
            "telephone_number": "718-287-2020",
            "fax_number": "516-829-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "KHODADADIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "718-287-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooklyn Optical
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• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.