Med Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006588 Issued in NY

Legal business name

MED GROUP LLC

Practice address

7401 18TH Ave
Brooklyn, NY 11204-5613

Phone

(718) 232-3907

Fax

(718) 234-8188

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Goldshmidt

Title

Manager

Phone

(718) 232-3907

Specialties & licenses 1

Addresses

Other names 1

• My Eye Doctor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilana Gelfond-Polnariev, OD

  • Pediatric Optometrist
  • Staten Island, NY
  • NPI 1619972361
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1932141272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045613",
            "telephone_number": "718-232-3907",
            "fax_number": "718-234-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045613",
            "telephone_number": "718-232-3907",
            "fax_number": "718-234-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "GOLDSHMIDT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-232-3907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Alexandra Mecklosky
• Michael Mecner, DPT
• Kelly Mecozzi, PSYD
• Med Care Consultants
• Med Care Consultants LLC
• Med Max Pharmacy Inc.
• Med Star Surgical & Breathing Equipment, Inc.
• Med Tech Services Inc
• Med Trend Inc.
• Med-RX Inc

• 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 Apr 24, 2009; 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.