Wayne Neal Tabachnick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002974 Issued in NY

Practice address

48 Graham Ave
Brooklyn, NY 11206-4002

Phone

(718) 388-7400

Fax

(718) 782-1548

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1922073139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COUNTRY MEADOW CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472026",
            "telephone_number": "631-367-6368",
            "fax_number": "718-782-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064002",
            "telephone_number": "718-388-7400",
            "fax_number": "718-782-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACHNICK",
        "first_name": "WAYNE",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00663685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ta Pharmsolutions LLC
• Ta Pharmsolutions LLC
• Calvin Ta, MD
• Leorah Taavar, PHARM . D
• Tehila Taavar, OTR/L
• Nathaniel Tabachnik, LMSW
• Ada Tabak, SC
• Anatoly Tabak, D.D.S.
• Esther Tabak
• Hessy Tabak

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.