MEDICARE: TK OPTOMETRY PC

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	:	1457227191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TK OPTOMETRY PC

Provider Business Mailing Address
First Line	:	1403 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3701
Country	:	US
Telephone Number	:	617-901-2240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3701
Country	:	US
Telephone Number	:	617-901-2240
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	TATYANA KATZ
Credential	:	OD
Telephone Number	:	617-901-2240

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	12/15/2025

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