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

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: October 25, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Glaucoma Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110624000144Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to New York Glaucoma Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Ophthalmology
NPI 1023023777
445 KINGS HWY 1ST FLOOR
Brooklyn, NY 11223
(718) 645-2201
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1275167793
980 E 12TH ST
Brooklyn, NY 11230
(917) 471-6533
✔ PECOS1.5 mi
Optometry
NPI 1164522645
4818 13TH AVE KLEINS VISION CENTER
Brooklyn, NY 11219
(718) 633-5162
✔ PECOS✔ Accepts Medicare2.4 mi
Ophthalmology
NPI 1063519775
1901 UTICA AVE
Brooklyn, NY 11234
(718) 968-8700
✔ PECOS✔ Accepts Medicare2.8 mi
Ophthalmology
NPI 1376958660
774 BROADWAY FL 2
Brooklyn, NY 11206
(888) 212-3937
✔ PECOS✔ Accepts Medicare6.8 mi
Ophthalmology
NPI 1437592946
201 17 NORTH SUITE 1202
Rutherford, NJ 07070
(551) 257-7001
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is New York Glaucoma Medical PC enrolled in Medicare?

Yes. New York Glaucoma Medical PC is registered in the Medicare PECOS enrollment system.

When is New York Glaucoma Medical PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through New York Glaucoma Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to New York Glaucoma Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, BlueCross BlueShield of Tennessee and Oscar Health 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.