SearchNew YorkOptometrist

Martin Mundackal, OD

NPI 1114816634 · on the registry since 2025

Practice

Address
4204 Broadway
New York, NY 10033
Phone
(917) 920-2636
Organisation at this address
Vistasite Optique Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York