MEDICARE: MOBILE OPTOMETRIST PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1306304894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE OPTOMETRIST PLLC

Provider Business Mailing Address
First Line	:	341 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1443
Country	:	US
Telephone Number	:	718-946-5060
Fax Number	:	718-946-5161

Provider Business Practice Location Address
First Line	:	341 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1443
Country	:	US
Telephone Number	:	718-946-5060
Fax Number	:	718-946-5161

Authorized Official
Title or Position	:	BILLER
Name	:	JACQUELINE MENDEZ
Credential	:
Telephone Number	:	917-771-9899

Provider Enumeration Date	:	03/04/2019
Last Update Date	:	03/04/2019

Similar Medicare Providers

1326999590 — TOSKA MEDICAL PC
Practice Location Address:

331 KINGS HWY STE D
BROOKLYN, NY
11223-1443

Practice Phone: 646-995-9999
Practice Fax:

1699889261 — ALEXANDER KATZ MD
Practice Location Address:

331 KINGS HWY
BROOKLYN, NY
11223-1443

Practice Phone: 646-490-0017
Practice Fax: 718-889-7563

1598200628 — EYES ON KIDS LLC
Practice Location Address:

341 KINGS HWY
BROOKLYN, NY
11223-1443

Practice Phone: 718-946-5060
Practice Fax: 718-732-2867

1356936108 — MANASHIR RUVINOV
Practice Location Address:

331 KINGS HWY STE A
BROOKLYN, NY
11223-1443

Practice Phone: 646-995-9999
Practice Fax:

1902471154 — DR. ZE LIAO PT, DPT
Practice Location Address:

339 KINGS HWY
BROOKLYN, NY
11223-1443

Practice Phone: 347-274-8591
Practice Fax:

1629854492 — MANASHIR RUVINOV FAMILY HEALTH NP PC
Practice Location Address:

331 KINGS HWY STE A
BROOKLYN, NY
11223-1443

Practice Phone: 646-995-9999
Practice Fax:

Directions to “MOBILE OPTOMETRIST PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.