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General NPI Number Information
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NPI Number | 1538041611
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Entity Type | Individual
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Provider Name | MICHAEL RADPARVAR OD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2922 AVENUE L
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City | BROOKLYN
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State | NY
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Zip | 11210-4639
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Country | US
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Telephone | 718-758-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 E 21ST ST
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City | BROOKLYN
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State | NY
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Zip | 11210-5049
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Country | US
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Telephone | 347-816-8627
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 011204
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License Number State | NY
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