Active NPI
Meyer Kollman, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1841263555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005004
- Practice address
- 1023 Church Ave
Brooklyn, NY 11218-2711 - Phone
- (718) 826-1234
- NPI assigned
- Feb 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005004 | NY | Primary |
Addresses
Primary practice location
1023 Church Ave
Brooklyn, NY 11218-2711
Mailing address
1023 Church Ave
Brooklyn, NY 11218-2711
Phone (718) 826-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01159026 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1108 Rutland Rd
Brooklyn, NY 11212-3646
Phone (347) 627-3557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T005004 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Eye Care Inc | Optometrist | Current | Accepting new patients |
Locations
1108 Rutland Rd
Brooklyn, NY 11212
Phone (347) 627-3557
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": "1139702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1841263555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182711",
"telephone_number": "718-826-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182711",
"telephone_number": "718-826-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLMAN",
"first_name": "MEYER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-12",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01159026",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.