Individual provider Active NPI

Erica Krepostman

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1104671916
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011031 Issued in NY
Practice address
2819 Mermaid Ave
Brooklyn, NY 11224-2092
Phone
(718) 265-6066
Fax
(718) 265-0665
NPI assigned
Apr 23, 2024
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011031 NY Primary

Addresses

Primary practice location

2819 Mermaid Ave
Brooklyn, NY 11224-2092

Mailing address

2819 Mermaid Ave
Brooklyn, NY 11224-2092
Phone (718) 265-6066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000302 NY Practitioner - Optometry 6901344571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and a Optical IncGroup PAC ID 0648317685, 3 clinicians

Practice addresses (Care Compare)

1811 Ave M
Brooklyn, NY 11230-5308
Phone (718) 684-6905

2819 Mermaid Ave
Brooklyn, NY 11224-2092
Phone (718) 265-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011031NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A & a Optical Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients
B & K Family Eyecare BH Inc Optometrist CurrentSince Nov 24, 2024 Accepting new patients
Mermaid Optical Optometrist PastSince Aug 1, 2024 Accepting new patients

Locations

1811 Avenue M
Brooklyn, NY 11230
Phone (718) 684-6905

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1104671916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242092",
            "telephone_number": "718-265-6066",
            "fax_number": "718-265-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242092",
            "telephone_number": "718-265-6066",
            "fax_number": "718-265-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPOSTMAN",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.