Individual provider Active NPI

Michael Radparvar, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1538041611
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011204 Issued in NY
Practice address
2922 Avenue L
Brooklyn, NY 11210-4639
Phone
(718) 758-2020
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 011204 NY Primary

Addresses

Primary practice location

2922 Avenue L
Brooklyn, NY 11210-4639

Mailing address

1551 E 21St St
Brooklyn, NY 11210-5049
Phone (347) 816-8627

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
I20251231001772 NY Practitioner - Optometry 8921594714 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
Accepts the Medicare-approved amount as payment in full
Group practices
Eao Vision Services Ny IncGroup PAC ID 2466618228, 2 clinicians

Practice addresses (Care Compare)

234 W 149TH St
Bronx, NY 10451-5589
Phone (718) 665-0611

462 1St Ave
New York, NY 10016-9196
Phone (212) 689-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eao Vision Services Ny Inc CurrentSince Dec 1, 2025 Accepting new patients
Eyes & Optics Jacobi LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2922 Avenue L
Brooklyn, NY 11210
Phone (718) 513-6911

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1538041611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105049",
            "telephone_number": "347-816-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104639",
            "telephone_number": "718-758-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADPARVAR",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.