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JIRI MLADEK OD
NPI 1134293194
Optometrist in Port Jefferson, NY

Active since November 20, 2006
311 BARNUM AVE, PORT JEFFERSON, NY 11777(631) 928-6400(631) 928-1353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jiri Mladek Od NPPES

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

JIRI MLADEK OD (NPI 1134293194) is an individual optometrist in Port Jefferson, New York, licensed in New York (4440) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1134293194
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJIRI MLADEKCredential: OD
Location Address311 BARNUM AVEPort Jefferson, NY 11777-1682
Mailing Address311 Barnum AvePort Jefferson, NY 11777-1682 · (631) 928-6400 · Fax (631) 928-1353
Phone(631) 928-6400
Fax(631) 928-1353
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134293194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 4440
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
311 BARNUM AVE, Port Jefferson, NY 11777
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Other Identifiers 2

Medicare ID-Type UnspecifiedC42331NY
Medicare UPINUT95980NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFRED J. COSSARI, M.D., P.C.
Ophthalmology
311 BARNUM AVE
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-6400

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 Jiri Mladek's NPI number?

The NPI number for Jiri Mladek is 1134293194. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Jiri Mladek located?

Jiri Mladek practices at 311 Barnum Ave, Port Jefferson, NY 11777. The listed phone number is (631) 928-6400.

What is Jiri Mladek's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jiri Mladek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.