Optical Warehouse Outlet Of Brooklyn Inc

LBN: Optical Warehouse Outlet Of Brooklyn Inc
Optical Warehouse Outlet Of Brooklyn Inc is an health care organization with primary practice located at 844 Flatbush Ave , Brooklyn NY 11226-3189. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Optical Warehouse Outlet Of Brooklyn Inc can be contacted via phone (718) 941-8585, or through Davydov, Yury via phone (718) 941-8585.

Contact Information

Primary practice address
844 Flatbush Ave Brooklyn NY 11226-3189
Phone: (718) 941-8585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davydov, Yury
Phone: (718) 941-8585

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1982646477
LBN Legal business name Optical Warehouse Outlet Of Brooklyn Inc
DBA Doing business as
Authorized official Davydov, Yury
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Oct 4th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982646477 NPPES
New York MEDICAID 02385817
New York MEDICAID 01986263

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