Individual provider Active NPI

Jan I Weitz, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1497986715
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007475 Issued in NY
Practice address
4820 5TH Ave
Brooklyn, NY 11220-2897
Phone
(718) 439-7070
Fax
(844) 593-1536
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 007475 NY Primary

Addresses

Primary practice location

4820 5TH Ave
Brooklyn, NY 11220-2897

Mailing address

4820 5TH Ave
Brooklyn, NY 11220-2897
Phone (718) 439-7070

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
I20110517000043 NY Practitioner - Optometry 8224214820 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Flushing, NY; Glen Oaks, NY; Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paskowski-Weitz P CGroup PAC ID 2860519436, 6 clinicians

Practice addresses (Care Compare)

4820 5TH Ave
Brooklyn, NY 11220-2897
Phone (718) 439-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007475NYMDOptometrist
007454NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paskowski-Weitz P C Optometrist CurrentSince Jul 1, 2014 Accepting new patients
Opti Fashion Inc Past Accepting new patients
Salvatore Capone MD PC PastSince Jul 1, 2014 Accepting new patients

Locations

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

100 Castleton Ave
Staten Island, NY 10301
Phone (718) 273-1300

Organizations & group practices 3

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1497986715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202897",
            "telephone_number": "718-439-7070",
            "fax_number": "844-593-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202897",
            "telephone_number": "718-439-7070",
            "fax_number": "844-593-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "JAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.