DR. STEVEN MARC DIVACK (NPI# 1306939723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306939723 |
| Entity Type | Individual |
| Full Name | DR. STEVEN MARC DIVACK |
| Credential | M.D. |
| Practice Address |
115 Eastern Pkwy Brooklyn NY 11238-6085 |
| Practice Telephone | 7186388484 |
| Practice Fax Number | 7186388588 |
| Mailing Telephone | 7186388484 |
| Mailing Fax Number | 7186388588 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 143879 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00523744 | 05 |
| Street Address |
115 EASTERN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11238-6085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881962223 | Steven M Divack, M.d., P.C. | Ophthalmology | 115 Eastern Pkwy, Brooklyn, NY 11238-6085 | 2011-12-13 |
| 1558501213 | Nathan Boldur Md Pllc | Ophthalmology | 115 Eastern Pkwy, Ste 1g, Brooklyn, NY 11238-6085 | 2009-02-20 |
| 1780757211 | Nathan Boldur | Ophthalmology | 115 Eastern Pkwy, Suite 1g, Brooklyn, NY 11238-6085 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434135 | Shuowen Zhang | Social Worker | 535 Clinton Ave, 2nd Floor, Brooklyn, NY 11238 | 2020-07-06 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1558912311 | Haruka Ka | Social Worker | 535 Clinton Avenue, 2nd Floor, Brooklyn, NY 11238 | 2019-09-24 |
| 1407406978 | Zilin Li | Counselor | 535 Clinton Ave 2nd Floor, Community Counseling and Mediation, Brooklyn, NY 11238 | 2019-09-17 |
| 1770065492 | Batsheva Becher | Occupational Therapist | 419 Waverly Ave, Brooklyn, NY 11238 | 2018-08-29 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| 1053820464 | Darlene Latasha Parham | Registered Nurse | 400 Saint Marks Ave, 2a, Brooklyn, NY 11238 | 2017-09-28 |
| 1578085585 | Rocio Sorribas | Specialist | 244 Lafayette Avenue, Floor 1, Brooklyn, NY 11238 | 2017-07-11 |
| 1528509056 | Carolanne Marcantonio | Social Worker | 60 Plaza St East, Bs-1, Brooklyn, NY 11238 | 2017-03-16 |
| Find all providers in zip 11238 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1386120616 | Parkslope Eye Care, Inc | Ophthalmology | 334 9th St, Brooklyn, NY 11215-8129 | 2018-07-19 |
| 1700390606 | Isaac Reich Md Pllc | Ophthalmology | 154 Beaumont St, Brooklyn, NY 11235-4119 | 2017-11-30 |
| 1518408277 | Kira Manusis Md, Pllc | Ophthalmology | 215 Bay 32nd St, Brooklyn, NY 11214-5709 | 2017-03-14 |
| 1528515541 | Downtown Eyecare, LLC | Ophthalmology | 398 Bridge St, Brooklyn, NY 11201-5210 | 2016-09-07 |
| 1679943005 | 9th Street Vision Care, Inc | Ophthalmology | 332 9th Street, Brooklyn, NY 11215 | 2015-09-28 |
| 1104205780 | Brooklyn Opthalmology Pllc | Ophthalmology | 4014 Church Ave, Brooklyn, NY 11203-2917 | 2015-05-28 |
| 1558755959 | George F. Hyman, M.d. Pllc | Ophthalmology | 1530 Bedford Ave, Brooklyn, NY 11216-4117 | 2015-03-24 |
| 1801220256 | Brooklyn Eye Plastics Md Pllc | Ophthalmology | 115 Prospect Park W, Brooklyn, NY 11215-3710 | 2013-08-21 |
| 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.