MEDICARE: DR. ROMAN POLISHCHUK O.D.

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	007870	NY

General Provider Information

NPI Number	:	1467715839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMAN POLISHCHUK O.D.

Provider Business Mailing Address
First Line	:	904 49TH ST
Second Line	:	MEDICAL & SURGICAL EYESITE
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2922
Country	:	US
Telephone Number	:	718-283-8000
Fax Number	:	718-365-3655

Provider Business Practice Location Address
First Line	:	904 49TH ST
Second Line	:	MEDICAL & SURGICAL EYESITE
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2922
Country	:	US
Telephone Number	:	718-283-8000
Fax Number	:	718-365-3655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	11/30/2012

Similar Medicare Providers

1396747861 — DR. GERALD MINKOWITZ M.D.
Practice Location Address:

904 49TH ST
BROOKLYN, NY
11219-2922

Practice Phone: 718-853-6433
Practice Fax: 718-853-6449

1104810308 — MINKOWITZ PATHOLOGY
Practice Location Address:

904 49TH ST
BROOKLYN, NY
11219-2922

Practice Phone: 718-853-6433
Practice Fax: 718-853-6449

1730178237 — GAIUS K LINDSAY MD
Practice Location Address:

904 49TH ST , LOWER LEVEL
BROOKLYN, NY
11219-2922

Practice Phone: 718-283-7741
Practice Fax: 718-635-7424

1518948934 — MEDICAL AND SURGICAL EYESITE PC
Practice Location Address:

902 49TH ST
BROOKLYN, NY
11219-2922

Practice Phone: 718-283-7999
Practice Fax:

1619137197 — DR. EMILY MORIARTY MD
Practice Location Address:

902 49TH ST
BROOKLYN, NY
11219-2922

Practice Phone: 718-283-8000
Practice Fax:

1265668776 — DR. CHRISTOPHER MICHAEL SHUTTY D.O.
Practice Location Address:

904 49TH ST
BROOKLYN, NY
11219-2922

Practice Phone: 718-853-6433
Practice Fax: 718-853-6449

Directions to “ DR. ROMAN POLISHCHUK O.D.” 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.