MEDICARE: PARSONS VISION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	T006199-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124071170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARSONS VISION INC

Provider Business Mailing Address
First Line	:	2521 PARSONS BLVD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-1247
Country	:	US
Telephone Number	:	718-353-7352
Fax Number	:	718-353-7563

Provider Business Practice Location Address
First Line	:	2521 PARSONS BLVD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-1247
Country	:	US
Telephone Number	:	718-353-7352
Fax Number	:	718-353-7563

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KONSTANTIN URMAN
Credential	:
Telephone Number	:	718-353-7352

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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Directions to “PARSONS VISION INC ” Practice Location

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