MY UNIQUE OPTIQUE; NPI #1760727101

Contact Information

MY UNIQUE OPTIQUE

324 ATLANTIC AVENUE
BROOKLYN, NY 11201

Phone: 718-624-6700
Fax: 718-624-6701
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for MY UNIQUE OPTIQUE

NPI Number 1760727101

LBN Legal business name MY UNIQUE OPTIQUE

Authorized official ILYA DAVIDSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2012

Last updated 12/11/2012 - About 13 years ago

Identifiers

License #

008896-1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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