Healthcare Provider Details

I. General information

NPI: 1336075589
Provider Name (Legal Business Name): OPTICAL WORLD OF WASHINGTON HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 W 181ST ST
NEW YORK NY
10033-5002
US

IV. Provider business mailing address

585 W 181ST ST
NEW YORK NY
10033-5002
US

V. Phone/Fax

Practice location:
  • Phone: 917-388-3979
  • Fax: 718-679-9706
Mailing address:
  • Phone: 917-388-3979
  • Fax: 718-679-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELENA FELDMAN
Title or Position: PARTNER
Credential: OD
Phone: 347-842-8871