STARLIGHT OPTICAL INC NPI 1225203649

NPI Information

  • NPI: 1225203649
  • Provider Name: STARLIGHT OPTICAL, INC
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Organization
  • Address: 1501 GRAVESEND NECK RD
    BROOKLYN, NY
    ZIP 11229
  • Phone: (718) 787-4111

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NPI Details

STARLIGHT OPTICAL, INC is a corneal and contact management optometrist in Brooklyn, NY. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. STARLIGHT OPTICAL, INC NPI is 1225203649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 GRAVESEND NECK RD
BROOKLYN, NY
ZIP 11229-434
Phone: (718) 787-4111
Fax: (718) 787-4114

The provider's authorized official is Stanislav Ilyusha .
The authorized official title is President and has the following contact phone number (718) 787-4111.

The enumeration date for this NPI number is 4/26/2008 and was last updated on 2/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementTUV006443NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102218697MEDICAIDNEW YORK
2U89143MEDICARE UPINNEW YORK
35175500001MEDICARE NSCNEW YORK
4C191E2MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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