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Contact Information

BRILLIANT VISION CORP.
97-21 QUEENS BLVD
REGO PARK, NY11374
 Phone: 347-840-3244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for BRILLIANT VISION CORP.

NPI # 1033456140
LBN Legal business name BRILLIANT VISION CORP.
Authorized official ELEANORA MULLOKANDOVA - (OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2013
Last updated 08/13/2013 - About 13 years ago
Identifiers
License # OPTICIAN
License # OPTOMETRIST
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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