MEDPLAZA OPTICAL INC
NPI 1568405629
Optometrist in Brooklyn, NY

Q: What is Medplaza Optical Inc's NPI number?

The NPI number for Medplaza Optical Inc is 1568405629. It was assigned to this organization in the NPPES registry on June 14, 2006.

Q: What is Medplaza Optical Inc's specialty?

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

Active since June 14, 2006

3065 BRIGHTON 14TH ST, BROOKLYN, NY 11235(718) 332-5047 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Medplaza Optical Inc NPPES

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

MEDPLAZA OPTICAL INC (NPI 1568405629) is a healthcare organization registered as an optometrist in Brooklyn, New York and active in the NPI registry since June 2006. The organization lists Alexander Kovbasyuk, President, as its authorized official.

NPPES Registry Identity

NPI1568405629

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMEDPLAZA OPTICAL INC

Location Address3065 BRIGHTON 14TH STBrooklyn, NY 11235-5501

Mailing Address3065 Brighton 14th StBrooklyn, NY 11235-5501 · (718) 332-5047

Phone(718) 332-5047

Organization SubpartNo

Authorized OfficialAlexander KovbasyukPresident · (718) 332-5047

Enumeration DateJune 14, 2006

Last NPPES UpdateNovember 23, 2007

✔ NPI 1568405629 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 · VUT006567

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.

3065 BRIGHTON 14TH ST, Brooklyn, NY 11235

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Other Identifiers 2

Medicare ID-Type UnspecifiedCFWFA1NY

Medicaid02409043NY

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.Insurance ›

Other Providers at the Same Location NPPES 7

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

TATYANA KISINA MD

Physical Medicine & Rehabilitation (Pain Medicine)