MEDICARE: BRIGHT VISION FAMILY EYECARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	152WC0802X	Corneal and Contact Management Optometrist
2	152WP0200X	Pediatric Optometrist
3	152WV0400X	Vision Therapy Optometrist
4	156FX1800X	Optician
5	152W00000X	Optometrist

General Provider Information

NPI Number	:	1518614197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT VISION FAMILY EYECARE INC

Provider Business Mailing Address
First Line	:	3808 UNION ST STE 3M-L
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5543
Country	:	US
Telephone Number	:	917-293-0221
Fax Number	:

Provider Business Practice Location Address
First Line	:	3808 UNION ST STE 3M-L
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5543
Country	:	US
Telephone Number	:	917-293-0221
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. ZHICHENG CHEN
Credential	:
Telephone Number	:	917-293-0221

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	01/22/2024

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