Healthcare Provider Details

I. General information

NPI: 1457227191
Provider Name (Legal Business Name): TK OPTOMETRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 AVENUE J
BROOKLYN NY
11230-3701
US

IV. Provider business mailing address

1403 AVENUE J
BROOKLYN NY
11230-3701
US

V. Phone/Fax

Practice location:
  • Phone: 617-901-2240
  • Fax:
Mailing address:
  • Phone: 617-901-2240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TATYANA KATZ
Title or Position: DOCTOR/OWNER
Credential: OD
Phone: 617-901-2240