Individual provider Active NPI

Rachel Mindin, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1790331007
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009049 Issued in NY
Practice address
2464 Coney Island Ave Ste 3
Brooklyn, NY 11223-5009
Phone
(718) 676-6464
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009049 NY Primary

Addresses

Primary practice location

2464 Coney Island Ave Ste 3
Brooklyn, NY 11223-5009

Mailing address

2765 W 5TH St Apt 13a
Brooklyn, NY 11224-4722
Phone (347) 628-4165

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
I20191010002800 NY Practitioner - Optometry 4688905300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and D Medical, PCGroup PAC ID 4789775206, 6 clinicians
Arthur Bukhatetsky OD PLLCGroup PAC ID 0042336331, 6 clinicians

Practice addresses (Care Compare)

2464 Coney Island Ave
Suite 3
Brooklyn, NY 11223-5009
Phone (718) 676-6464

519 5TH Ave
Brooklyn, NY 11215-7372
Phone (718) 768-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A & D Medical, PC CurrentSince Sep 4, 2019 Accepting new patients
Ny Eye Care and Surgery Specialist P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

2464 Coney Island Ave
Ste 3
Brooklyn, NY 11223
Phone (718) 676-6464

133 E 58th St
Ste 1102
New York, NY 10022
Phone (212) 316-1200

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1790331007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 W 5TH ST APT 13A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244722",
            "telephone_number": "347-628-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 CONEY ISLAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235009",
            "telephone_number": "718-676-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDIN",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.