Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooklyn Ophthalmology PLLC

Organization Ophthalmology Physician · NPI 1104205780

Brooklyn Ophthalmology PLLC is an Ophthalmology Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4014 Church Ave
Brooklyn, NY 11203-2917
Phone: (718) 287-2020
Fax: (516) 829-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 206436 (NY)

Record details

NPI number1104205780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Khodadadian — Ceo President · (718) 287-2020
NPI enumeratedMay 28, 2015
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address18 Franklin Pl, Great Neck, NY 11023-1229

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