Healthcare Provider Details

I. General information

NPI: 1578480844
Provider Name (Legal Business Name): RACHEL GERBER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL GREISMAN OD

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 PARKSIDE AVE
BROOKLYN NY
11226-2298
US

IV. Provider business mailing address

672 PARKSIDE AVE
BROOKLYN NY
11226-2298
US

V. Phone/Fax

Practice location:
  • Phone: 929-434-9231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011349
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: