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OPTICAL WAREHOUSE OUTLET OF BROOKLYN INC NPI 1982646477


NPI Information

NPI: 1982646477
Provider Name: OPTICAL WAREHOUSE OUTLET OF BROOKLYN INC
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
844 FLATBUSH AVE
BROOKLYN, NY
ZIP 11226
Phone: (718) 941-8585
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OPTICAL WAREHOUSE OUTLET OF BROOKLYN INC is an exclusive provider organization in Brooklyn, NY. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. OPTICAL WAREHOUSE OUTLET OF BROOKLYN INC NPI is 1982646477. The provider is registered as an organization entity type.

The provider's business location address is:

844 FLATBUSH AVE
BROOKLYN, NY
ZIP 11226-189
Phone: (718) 941-8585

The provider's authorized official is Yury Davydov .
The authorized official title is President and has the following contact phone number (718) 941-8585.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/4/2012.


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
1302F00000XExclusive Provider OrganizationYes

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
101986263MEDICAIDNEW YORK
202385817MEDICAIDNEW YORK
3A100074160MEDICARE PINNEW YORK
4U01744MEDICARE UPINNEW YORK
55572370001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
6WWS431MEDICARE PINNEW 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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