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NPI Code Detail

MEDICARE: GLOBAL OPTICS,INC.

MEDICARE: GLOBAL OPTICS,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
1152W00000XOptometristT006411NY
2152W00000XOptometristTUV007555-1NY
3152W00000XOptometristTUV007735-1NY
4152W00000XOptometristT006578NY

Other Identifiers

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

General Provider Information

NPI Number : 1508833005
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL OPTICS,INC.
Provider Business Mailing Address
First Line : 743 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3305
Country : US
Telephone Number : 718-871-5152
Fax Number : 718-871-7369
Provider Business Practice Location Address
First Line : 743 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3305
Country : US
Telephone Number : 718-871-5152
Fax Number : 718-871-7369
Authorized Official
Title or Position : OPTICIAN/OWNER
Name : MR. OLEG GONIK
Credential : NYSSO
Telephone Number : 718-871-5152
Provider Enumeration Date : 03/02/2006
Last Update Date : 03/17/2015

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Directions to “GLOBAL OPTICS,INC. ” Practice Location

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