Eyewear Palace Inc.
LBN: Eyewear Palace Inc.
Eyewear Palace Inc. is an health care organization with primary practice located at 395 Flatbush Avenue Ext Store # 8, Brooklyn NY 11201-5300. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Eyewear Palace Inc. can be contacted via phone (718) 625-7500, or through Kolesnyk, Victor via phone (718) 915-0791.
Contact Information
Primary practice address
395 Flatbush Avenue Ext Store # 8
Brooklyn NY 11201-5300
Phone: (718) 625-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | New York | |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | New York | |
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | New York | |
| Eye and Vision Services Providers / Optician | 156FX1800X | New York | |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | New York |
Profile Details
| NPI number | 1619306123 |
|---|---|
| LBN Legal business name | Eyewear Palace Inc. |
| DBA Doing business as | |
| Authorized official | Kolesnyk, Victor |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Nov 5th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619306123 | NPPES |
| New York | MEDICAID | 02967568 |
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