Individual provider · Type 1 NPI

Martin Alex Mundackal, OD

Optometrist · New York, NY

NPI number 1114816634 Active

Practice location

4204 Broadway
New York, NY 10033-3706

Mailing address

212 Benedict Ave
Thornwood, NY 10594-1204

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X011180 (NY)

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 e…

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About NPI 1114816634

Martin Alex Mundackal, OD's National Provider Identifier is 1114816634, issued on Jun 30, 2025. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in New York, NY. The record was last updated on Jul 7, 2025.