Healthcare Provider Details

I. General information

NPI: 1316072507
Provider Name (Legal Business Name): OCEAN EYE CARE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W BRIGHTON AVE STE 103
BROOKLYN NY
11224-4901
US

IV. Provider business mailing address

40 W BRIGHTON AVE STE 103
BROOKLYN NY
11224-4901
US

V. Phone/Fax

Practice location:
  • Phone: 718-996-2260
  • Fax: 718-996-1123
Mailing address:
  • Phone: 718-996-2260
  • Fax: 718-996-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number202022
License Number StateNY

VIII. Authorized Official

Name: ANNA LEV BENTSIANOV
Title or Position: OWNER/PRACTITIONER
Credential: MD
Phone: 718-996-2260