Individual provider Active NPI

Amy Lynn Poran, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1902943244
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005876 Issued in NY
Practice address
319 Court St Apt 1
Brooklyn, NY 11231-5501
Phone
(718) 554-6230
Fax
(718) 852-8391
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 TUV005876 NY Primary

Addresses

Primary practice location

319 Court St Apt 1
Brooklyn, NY 11231-5501

Mailing address

319 Court St Apt 1
Brooklyn, NY 11231-5501
Phone (718) 554-6230

Other identifiers 1

IdentifierTypeStateIssuer
01960205MedicaidNY

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
I20160916000406 NY Practitioner - Optometry 5698061745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Court St
Apt 1
Brooklyn, NY 11231-5501
Phone (718) 554-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005876NYMDOptometrist
005876NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Brooklyn Health Center Optometrist Past Accepting new patients

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1902943244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COURT ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112315501",
            "telephone_number": "718-554-6230",
            "fax_number": "718-852-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COURT ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112315501",
            "telephone_number": "718-554-6230",
            "fax_number": "718-852-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.