Organization Active NPI

Kollman, Meyer O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1285763995
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY T005004-1 Issued in NY
Legal business name
KOLLMAN, MEYER O.D.
Practice address
1023 Church Ave
Brooklyn, NY 11218-2711
Phone
(718) 826-1234
Fax
(718) 826-0324
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Meyer Kollman, OD
Title
Owner
Phone
(718) 826-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY T005004-1 NY Primary

Addresses

Primary practice location

1023 Church Ave
Brooklyn, NY 11218-2711

Mailing address

1023 Church Ave
Brooklyn, NY 11218-2711
Phone (718) 826-1234

Other names 1

  • Family Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1023 Church Ave
Brooklyn, NY 11218
Phone (718) 826-1234

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1285763995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182711",
            "telephone_number": "718-826-1234",
            "fax_number": "718-826-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182711",
            "telephone_number": "718-826-1234",
            "fax_number": "718-826-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLLMAN, MEYER O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KOLLMAN",
        "authorized_official_first_name": "MEYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-826-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY T005004-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.