Individual provider Active NPI

Marina Presman, DOCTOR OF OPTOMETRY

  • Optometrist
  • Jamaica, NY
National Provider Identifier
1699243600
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008903 Issued in NY
Practice address
16111 Jamaica Ave
Jamaica, NY 11432-6113
Phone
(347) 249-3605
Fax
(718) 374-3864
NPI assigned
Nov 7, 2018
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 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 TUV008903 NY Primary

Addresses

Primary practice location

16111 Jamaica Ave
Jamaica, NY 11432-6113

Mailing address

2291 E 26TH St
Brooklyn, NY 11229-4941
Phone (347) 249-3605

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
I20190107001872 NY Practitioner - Optometry 0244576684 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Ocean Pkwy
Suite L1
Brooklyn, NY 11235-8344
Phone (347) 249-3605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008903NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Eyecare Corp Optometrist CurrentSince Nov 19, 2018 Accepting new patients
Liberty Optical Corp Optometrist CurrentSince Nov 19, 2018 Accepting new patients
Perspective Optometry PC Optometrist CurrentSince Mar 22, 2019 Accepting new patients
Fabulous Optical USA Corp. Optometrist Current Accepting new patients
Jamaica Vision Center Corp Optometrist CurrentSince Nov 19, 2018 Accepting new patients
Supreme Eyecare Center Corp Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Kraupner Pharmacy, Inc PastSince Sep 1, 2022 Accepting new patients

Locations

3000 Ocean Pkwy
Ste L1
Brooklyn, NY 11235
Phone (347) 249-3605

457 Knickerbocker Ave
Brooklyn, NY 11237
Phone (347) 635-0335

16413 Jamaica Ave
Jamaica, NY 11432
Phone (347) 419-2575

11702 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 374-3818

12102 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 641-1160

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1699243600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294941",
            "telephone_number": "347-249-3605",
            "fax_number": "718-374-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "347-249-3605",
            "fax_number": "718-374-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESMAN",
        "first_name": "MARINA",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.