MICHELLE PENSHORN (NPI# 1689980161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689980161 |
| Entity Type | Individual |
| Full Name | MICHELLE PENSHORN |
| Credential | O.D. |
| Practice Address |
102 Graham Ave Brooklyn NY 11206-3334 |
| Mailing Address |
246 7th St Apt 1 Brooklyn NY 11215-3208 |
| Practice Telephone | 7186902177 |
| Mailing Telephone | 6122264230 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV007537 | NY | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2933 Broadway, New York, NY 100257801 | 2126620400 | 2126621188 |
| Street Address |
102 GRAHAM AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225538457 | Eye Care Center, Inc | Optometrist | 102 Graham Ave, Brooklyn, NY 11206-3334 | 2018-02-14 |
| 1174039531 | Graham Eye Care LLC | Ophthalmology | 102 Graham Ave, Brooklyn, NY 11206-3334 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1285242602 | Fenella Shneur | Optometrist | 4501 5th Ave, Brooklyn, NY 11220-1205 | 2020-07-22 |
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1497388920 | Nd Optometry Pllc | Optometrist | 453 Court St Ste 2b, Brooklyn, NY 11231-4595 | 2020-02-12 |
| 1376174953 | Allison Nguyen | Optometrist | 66 Patchen Ave Apt 5, Brooklyn, NY 11221-2867 | 2020-01-31 |
| 1023655883 | Nyc Optical Group LLC | Optometrist | 5623 5th Ave, Brooklyn, NY 11220-3414 | 2019-11-28 |
| 1518501840 | Esty Blatt | Optometrist | 1082 E 9th St, Brooklyn, NY 11230-4108 | 2019-10-30 |
| 1518500883 | Olesya Semchenkova Od PC | Optometrist | 3014 Brighton 6th St Fl 2nd, Brooklyn, NY 11235-6410 | 2019-10-19 |
| 1790328128 | Midwood Optical LLC | Optometrist | 1811 Avenue M, Brooklyn, NY 11230-5308 | 2019-10-17 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.