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MODERN OPTIKA INC NPI 1861442022


NPI Information

NPI: 1861442022
Provider Name: MODERN OPTIKA ,INC

Doing Business As: MODERN OPTICAL

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

CLIA Number: 33D2141925

Address:
453 KINGS HWY
BROOKLYN, NY
ZIP 11223
Phone: (718) 336-1060
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MODERN OPTIKA ,INC is an optician technician technologist in Brooklyn, 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. MODERN OPTIKA ,INC NPI is 1861442022. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Modern Optical.

The provider's business location address is:

453 KINGS HWY
BROOKLYN, NY
ZIP 11223-803
Phone: (718) 336-1060
Fax: (718) 336-0113

The provider's authorized official is Leonard Donde .
The authorized official title is Optician and has the following contact phone number (718) 336-1060.

The CLIA number assigned to this NPI record is 33D2141925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 12/11/2007.


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
1156FX1800XTechnician/TechnologistOptician0071631NEW 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
1CAWGM1MEDICARE PINNEW YORK
24852770001MEDICARE NSCNEW YORK
302376167MEDICAIDNEW 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: 4/28/2024

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