Individual provider Active NPI

Joanna Latek, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1790500833
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000011115 Issued in NY
Practice address
159 1St Ave
New York, NY 10003-3067
Phone
(212) 238-0950
Fax
(646) 843-7606
NPI assigned
Nov 21, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 0000011115 NY Primary

Addresses

Primary practice location

159 1St Ave
New York, NY 10003-3067

Mailing address

4738 Broadway
New York, NY 10040-1103
Phone (800) 936-0036

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
I20250718000761 NY Practitioner - Optometry 0840706743 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000011115NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Express Eyecare LLC Optometrist CurrentSince Jun 22, 2025 Accepting new patients
East Side 2020 Vision Optometrist CurrentSince Aug 3, 2025 Accepting new patients
Inwood Optical LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Dna Management Corp. PastSince Aug 3, 2025 Accepting new patients

Locations

220 E 161st St
Bronx, NY 10451
Phone (718) 537-5000

2 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 654-2020

159 1st Ave
New York, NY 10003
Phone (212) 228-0950

Organizations & group practices 4

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1790500833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401103",
            "telephone_number": "800-936-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033067",
            "telephone_number": "212-238-0950",
            "fax_number": "646-843-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATEK",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "0000011115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.