Healthcare Provider Details

I. General information

NPI: 1134032972
Provider Name (Legal Business Name): MEGA VISION OF SHEEPSHEAD BAY OPT & OPHTHALMIC DISPENSING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 AVENUE Z
BROOKLYN NY
11235-3917
US

IV. Provider business mailing address

1311 AVENUE Z
BROOKLYN NY
11235-3917
US

V. Phone/Fax

Practice location:
  • Phone: 718-891-0832
  • Fax:
Mailing address:
  • Phone: 718-891-0832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ELENA FELDMAN
Title or Position: OD/DIRECTOR
Credential:
Phone: 347-842-8871