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

Individual provider Optometrist · NPI 1467715839

Dr. Roman Polishchuk, OD is an Optometry in Brooklyn, New York. Graduated from State University of New York - State College Optometry in 2012, 14 years ago. Practices with R Mostafavi MD Ophthamologist PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2012
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

904 49th St Medical & Surgical Eyesite
Brooklyn, NY 11219-2922
Phone: (718) 283-8000
Fax: (718) 365-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 007870 (NY)

Record details

NPI number1467715839
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESNovember 30, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice R Mostafavi Md Ophthamologist Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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