MDA MANAGEMENT INC NPI 1528116282

NPI Information

NPI: 1528116282
Provider Name: MDA MANAGEMENT INC
Classification: Technician/Technologist - 156FX1800X
Specialization: Optician
Entity Type: Organization
:
Address: 4526 BROADWAY
NEW YORK, NY
ZIP 10040
Phone: (212) 304-3585

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NPI Details

MDA MANAGEMENT INC is an optician technician technologist in New York, NY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MDA MANAGEMENT INC NPI is 1528116282. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4526 BROADWAY
NEW YORK, NY
ZIP 10040-404
Phone: (212) 304-3585

The provider's authorized official is Luidmila Saperson .
The authorized official title is President and has the following contact phone number (212) 304-3585.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/11/2025.

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
1	152W00000X	Optometrist		TUV 006977	NEW YORK	No
2	156FX1800X	Technician/Technologist	Optician	007305-1	NEW YORK	Yes

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	02826259	MEDICAID	NEW 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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