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

Izick Khanimov, OPTICIAN

Individual provider Ophthalmic Assistant · NPI 1013506948

Izick Khanimov, OPTICIAN is an Ophthalmic Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

115 7th Ave
Brooklyn, NY 11215-1301
Phone: (718) 398-2020
Fax: (718) 230-0024
Show map & directions

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

Specialties & licences

Ophthalmic Assistant (primary) Taxonomy 156FX1101X · Licence 00897-01 (NY)

Record details

NPI number1013506948
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021