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EYEWEAR PALACE INC. NPI 1619306123


NPI Information

NPI: 1619306123
Provider Name: EYEWEAR PALACE INC.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
395 FLATBUSH AVENUE EXT
STORE # 8
BROOKLYN, NY
ZIP 11201
Phone: (718) 625-7500
Get Directions

EYEWEAR PALACE INC. is an optometrist in Brooklyn, NY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYEWEAR PALACE INC. NPI is 1619306123. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

395 FLATBUSH AVENUE EXT
STORE # 8
BROOKLYN, NY
ZIP 11201-300
Phone: (718) 625-7500

The provider's authorized official is Victor Kolesnyk .
The authorized official title is Manager and has the following contact phone number (718) 915-0791.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision RehabilitationNEW YORKNo
2156FC0800XTechnician/TechnologistContact LensNEW YORKNo
3156FX1800XTechnician/TechnologistOpticianNEW YORKNo
4332H00000XEyewear SupplierNEW YORKNo
5152W00000XOptometristNEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102967568MEDICAIDNEW 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

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