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

Eung Jin Brendon Bae, OD

Individual provider Optometrist · NPI 1114701919

Eung Jin Brendon Bae, OD is an Optometry in Forest Hills, New York. Graduated from State University of New York - State College Optometry in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2023
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

9620 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone: (718) 793-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence RT009885 (NY)

Record details

NPI number1114701919
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

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 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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