MEDICARE: BROOKLYN'S FINEST OPTICAL LLC

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	156FX1100X	Ophthalmic Technician/Technologist

General Provider Information

NPI Number	:	1821959412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKLYN'S FINEST OPTICAL LLC

Provider Business Mailing Address
First Line	:	5119 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5201
Country	:	US
Telephone Number	:	718-799-7179
Fax Number	:

Provider Business Practice Location Address
First Line	:	5119 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5201
Country	:	US
Telephone Number	:	718-799-7179
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. IRA SHI
Credential	:
Telephone Number	:	718-799-7179

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	11/21/2025

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