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PLAZA OPTICAL CENTRE, INC
NPI 1104002088
Eyewear Supplier in Brooklyn, NY

Active since January 10, 2008
225 S 4TH ST, BROOKLYN, NY 11211(718) 384-4700(718) 387-3139 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plaza Optical Centre, Inc NPPES

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

PLAZA OPTICAL CENTRE, INC (NPI 1104002088) is a healthcare organization registered as an eyewear supplier in Brooklyn, New York and active in the NPI registry since January 2008. The organization lists Dmitry Zagorodnyuk, Owner, as its authorized official.

NPPES Registry Identity

NPI1104002088
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePLAZA OPTICAL CENTRE, INC
Location Address225 S 4TH STBrooklyn, NY 11211-5692
Mailing Address225 S 4th StBrooklyn, NY 11211-5692 · (718) 384-4700 · Fax (718) 387-3139
Phone(718) 384-4700
Fax(718) 387-3139
Organization SubpartNo
Authorized OfficialDmitry ZagorodnyukOwner · (718) 384-4700
Enumeration DateJanuary 10, 2008
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1104002088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NY · VUT005837
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
225 S 4TH ST, Brooklyn, NY 11211
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plaza Optical Centre, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Plaza Optical Centre, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marlon Mendoza, OD
Optometry
NPI 1578233359
225 S 4TH ST
Brooklyn, NY 11211
(718) 384-4700
✔ PECOS✔ Accepts MedicareSame address

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 Plaza Optical Centre, Inc's NPI number?

The NPI number for Plaza Optical Centre, Inc is 1104002088. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Plaza Optical Centre, Inc located?

Plaza Optical Centre, Inc is located at 225 S 4th St, Brooklyn, NY 11211. The listed phone number is (718) 384-4700.

What is Plaza Optical Centre, Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Plaza Optical Centre, Inc enrolled in Medicare?

Yes. Plaza Optical Centre, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plaza Optical Centre, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Plaza Optical Centre, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Plaza Optical Centre, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Oscar Health list Plaza Optical Centre, Inc 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 Plaza Optical Centre, Inc was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.