Individual provider Active NPI

Michelle Nemirovsky, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1265324834
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011222 Issued in NY
Practice address
334 9TH St
Brooklyn, NY 11215-8129
Phone
(718) 504-8660
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011222 NY Primary

Addresses

Primary practice location

334 9TH St
Brooklyn, NY 11215-8129

Mailing address

100 Avenue P Apt 6H
Brooklyn, NY 11204-6134
Phone (646) 717-4872

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
I20250724001018 NY Practitioner - Optometry 6800302977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Flatbush Eye Care IncGroup PAC ID 2466849344, 3 clinicians
Parkslope Eye Care, IncGroup PAC ID 8820341845, 2 clinicians

Practice addresses (Care Compare)

1054 Flatbush Ave
Brooklyn, NY 11226-5428
Phone (718) 223-5707

334 9TH St
Brooklyn, NY 11215-8129
Phone (718) 504-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011222NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkslope Eye Care, Inc Optometrist CurrentSince Jul 18, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1265324834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVENUE P APT 6H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046134",
            "telephone_number": "646-717-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158129",
            "telephone_number": "718-504-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROVSKY",
        "first_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.