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Contact Information

EYEWEAR PALACE INC.
395 FLATBUSH AVENUE EXT
STORE # 8
BROOKLYN, NY11201-5300
 Phone: 718-625-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for EYEWEAR PALACE INC.

NPI Number 1619306123
LBN Legal business name EYEWEAR PALACE INC.
Authorized official VICTOR KOLESNYK - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2013
Last updated 11/05/2013 - About 13 years ago
Identifiers
NY Medicaid 02967568
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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