Healthcare Provider Details

I. General information

NPI: 1669392031
Provider Name (Legal Business Name): MICHAEL FELDMAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 AVENUE U
BROOKLYN NY
11223-3741
US

IV. Provider business mailing address

187 AVENUE U
BROOKLYN NY
11223-3741
US

V. Phone/Fax

Practice location:
  • Phone: 718-373-2020
  • Fax: 718-373-9805
Mailing address:
  • Phone: 718-373-2020
  • Fax: 718-373-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberORT011438
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: