Individual
DR. MICHAEL KISELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
909 MANHATTAN AVE, GREENPOINT EYE CARE LLC, BROOKLYN, NY 11222-5960
(718) 389-0333
(718) 389-0040
Mailing address
909 MANHATTAN AVE, GREENPOINT EYE CARE LLC, BROOKLYN, NY 11222-5960
(718) 389-0333
(718) 389-0040
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
12450
CA
152WC0802X
Corneal and Contact Management Optometrist
1346
AZ
152WC0802X
Corneal and Contact Management Optometrist
OPC 4148
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV006648-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002813319-01
UNITED HEALTH CARE
—
01
—
000551510101
HEALTH PLUS
—
01
—
0135527
EMBLEM HEALTH
—
01
—
02896642
MEDICAID
NY
01
—
108
VISION SCREENING
—
01
—
1602400
COVENTRY
—
01
—
1881673184
VSP
—
01
—
214775
EYEMED
NY
01
—
2585193
CIGNA
—
01
—
330816
NVA
—
01
—
383511P
HIP
—
01
—
39079
MES VISION
—
01
—
47175
SPECTERA
—
01
—
47734
AVESIS
—
01
—
57117
HEALTH FIRST
—
01
—
6C1614
HEALTH NET
—
01
—
7457515
AETNA
—
01
—
936231
AMERIGROUP
—
01
—
953N
NATIONAL OPTICAL SERVICE
—
01
—
C399G1
MEDICARE
—
01
—
C399G2
BLUE CROSS BLUE SHIELD
—
01
—
IE0069
EYE QUEST VISION
—
01
—
P0T00648
METRO PLUS
—
01
—
P3814314
OXFORD
—
Enumeration date
01/13/2006
Last updated
06/28/2011
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