Individual provider Active NPI

Tatyana I Katz, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1699887323
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
RT007684 Issued in NY
Practice address
1403 Avenue J
Brooklyn, NY 11230-3701
Phone
(718) 534-4651
Fax
(718) 534-4654
NPI assigned
Aug 31, 2006
Reactivated
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 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 RT007684 NY Primary

Addresses

Primary practice location

1403 Avenue J
Brooklyn, NY 11230-3701

Mailing address

1403 Avenue J
Brooklyn, NY 11230-3701
Phone (718) 534-4651

Other practice location 1

9315 Jamaica Ave
Woodhaven, NY 11421-2220
Phone (718) 739-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061004000354 MA Practitioner - Optometry 3476559071 Reassigns benefits to 1 organization
I20220831000258 NY Practitioner - Optometry 3476559071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1403 Ave J
Brooklyn, NY 11230-3701
Phone (718) 534-4651

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1699887323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303701",
            "telephone_number": "718-534-4651",
            "fax_number": "718-534-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303701",
            "telephone_number": "718-534-4651",
            "fax_number": "718-534-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114212220",
            "country_code": "US",
            "telephone_number": "718-739-4617",
            "fax_number": "718-534-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "TATYANA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "deactivation_date": "2026-08-21",
        "reactivation_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "RT007684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.