OPTICAL ACADEMY ADVANCED MD GROUP LLC NPI 1245672260

NPI Information

  • NPI: 1245672260
  • Provider Name: OPTICAL ACADEMY ADVANCED MD GROUP LLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 115 W 45TH ST
    -SUITE 504
    NEW YORK, NY
    ZIP 10036
  • Phone: (800) 530-2730

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NPI Details

OPTICAL ACADEMY ADVANCED MD GROUP LLC is an ophthalmology in New York, NY. The provider is 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. OPTICAL ACADEMY ADVANCED MD GROUP LLC NPI is 1245672260. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 W 45TH ST
-SUITE 504
NEW YORK, NY
ZIP 10036-005
Phone: (800) 530-2730
Fax: (631) 206-9193

The provider's authorized official is Abeer Ayoub .
The authorized official title is Cfo and has the following contact phone number (800) 530-2730.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 6/20/2018.

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
1207W00000XOphthalmologyYes

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
1=========OTHERNEW YORKEIN

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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