VICTORY VISION CARE INC. NPI 1568643161

NPI Information

NPI: 1568643161
Provider Name: VICTORY VISION CARE INC.
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
565 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
Phone: (718) 622-2020
Get Directions

VICTORY VISION CARE 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. VICTORY VISION CARE INC. NPI is 1568643161. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

565 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217-913
Phone: (718) 622-2020
Fax: (718) 622-5404

The provider's authorized official is Lyubomyra Kolesnyk .
The authorized official title is Owner and has the following contact phone number (718) 622-2020.

The enumeration date for this NPI number is 11/25/2007 and was last updated on 1/21/2015.

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		006618-1	NEW YORK	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	006618-1	NEW YORK	No
3	152WX0102X	Optometrist	Occupational Vision	006618-1	NEW YORK	No
4	156FX1800X	Technician/Technologist	Optician	008716	NEW YORK	No
5	332H00000X	Eyewear Supplier		008716-1	NEW YORK	No
6	152WC0802X	Optometrist	Corneal and Contact Management	006618-1	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
1	02970267	MEDICAID	NEW YORK
2	U96957	MEDICARE UPIN	NEW YORK
3	02857014	MEDICAID	NEW YORK
4	02967568	MEDICAID	NEW YORK
5	A100000748	MEDICARE PIN	NEW YORK
6	A400006735	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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