NEW YORK GLAUCOMA MEDICAL PC
NPI 1013020296
Ophthalmology in Brooklyn, NY

Q: What is New York Glaucoma Medical PC's NPI number?

The NPI number for New York Glaucoma Medical PC is 1013020296. It was assigned to this organization in the NPPES registry on August 15, 2006.

Q: What is New York Glaucoma Medical PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since August 15, 2006

455 KINGS HWY, 1ST FLOOR, BROOKLYN, NY 11223(718) 645-2201(718) 645-2207 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About New York Glaucoma Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW YORK GLAUCOMA MEDICAL PC (NPI 1013020296) is a healthcare organization registered as an ophthalmology in Brooklyn, New York and active in the NPI registry since August 2006. The organization lists Irina Pankova, President, as its authorized official.

NPPES Registry Identity

NPI1013020296

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameNEW YORK GLAUCOMA MEDICAL PC

Location Address455 KINGS HWY, 1ST FLOORBrooklyn, NY 11223-1803

Mailing Address65 Oceana Dr E, Suite 5dBrooklyn, NY 11235-6686 · (718) 645-2201 · Fax (718) 645-2207

Phone(718) 645-2201

Fax(718) 645-2207

Organization SubpartNo

Authorized OfficialIrina PankovaPresident · (718) 645-2201

Enumeration DateAugust 15, 2006

Last NPPES UpdateDecember 8, 2008

✔ NPI 1013020296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

455 KINGS HWY, Brooklyn, NY 11223

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2043778

New York Glaucoma Medical PC · Brooklyn, NY

Expired · Jul 9, 2026

CLIA Number33D2043778

Laboratory TypePhysician Office

Certificate Effective DateJuly 10, 2024

Certificate Expiration DateJuly 9, 2026

Laboratory DirectorDr. Irina Pankova

Laboratory Phone(718) 645-2201

Laboratory LocationNew York Glaucoma Medical PC103 Quentin Road, Suite G1-1, Brooklyn, NY 11223

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New York Glaucoma Medical PC's NPI number?

The NPI number for New York Glaucoma Medical PC is 1013020296. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is New York Glaucoma Medical PC located?

New York Glaucoma Medical PC is located at 455 Kings Hwy 1st Floor, Brooklyn, NY 11223. The listed phone number is (718) 645-2201.

What is New York Glaucoma Medical PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does New York Glaucoma Medical PC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list New York Glaucoma Medical PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New York Glaucoma Medical PC was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.