MEDICARE: EYE-X

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	TUV6451	NY

General Provider Information

NPI Number	:	1568741635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE-X

Provider Business Mailing Address
First Line	:	1703 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3606
Country	:	US
Telephone Number	:	718-975-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3606
Country	:	US
Telephone Number	:	718-975-2100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. GALINA BENIMOVICH
Credential	:	OD
Telephone Number	:	718-265-1100

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	09/23/2025

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Directions to “EYE-X ” Practice Location

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