Healthcare Provider Details

I. General information

NPI: 1366346801
Provider Name (Legal Business Name): ALEXANDER ZELDIN OPTOMETRY P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 E 12TH ST
BROOKLYN NY
11230-3672
US

IV. Provider business mailing address

1740 OCEAN AVE APT 8A
BROOKLYN NY
11230-5446
US

V. Phone/Fax

Practice location:
  • Phone: 917-613-9141
  • Fax: 917-471-6533
Mailing address:
  • Phone: 917-613-9141
  • Fax: 917-471-6533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ALEXANDER ZELDIN
Title or Position: CEO
Credential: OD
Phone: 917-613-9141