Bracha Namdar, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008757 Issued in NY

Practice address

103-06 Roosevelt Ave
Corona, NY 11368

Phone

(718) 424-1333

Fax

(718) 424-1330

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Namdar Optometry PC

  • Optometrist
  • Far Rockaway, NY
  • NPI 1720746076
  Medicare reassignment NPD Authorized official
• Corona Optometry, PC

  • Optometrist
  • Corona, NY
  • NPI 1336321728
  Medicare reassignment NPD
• Namdar Optometry PC

  • Optometrist
  • Woodmere, NY
  • NPI 1437841681
  NPD Authorized official
• Corona Optometry PC

  • Optometrist
  • Corona, NY
  • NPI 1760817191
  NPD (past)
• Isaac Reich MD Ca a Professional Corporation

  • Ophthalmology Physician
  • North Hollywood, CA
  • NPI 1922729045
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1245725779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-424-1333",
            "fax_number": "718-424-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-06 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11368",
            "telephone_number": "718-424-1333",
            "fax_number": "718-424-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDAR",
        "first_name": "BRACHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myven Pharmacy Corp.
• Myven Wellness Corp.
• Marukh Naeem
• Bindi Kunal Naik
• Roy Naipaul, DCSW
• Amir Naser, PHARMD
• Miriam Nathan-Lifshitz
• National Pediatric MD PC
• National Pharmacy Corp.
• National RX Pharma Inc.

• Optometrist in Corona, NY
• Providers in Corona, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.