MEDICARE: NESSES OPTICAL LTD

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

General Provider Information

NPI Number	:	1861675035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESSES OPTICAL LTD

Provider Business Mailing Address
First Line	:	972 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-4018
Country	:	US
Telephone Number	:	718-826-0005
Fax Number	:	718-693-4512

Provider Business Practice Location Address
First Line	:	972 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-4018
Country	:	US
Telephone Number	:	718-826-0005
Fax Number	:	718-693-4512

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEO ESSES
Credential	:	OD
Telephone Number	:	718-826-0005

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	06/21/2012

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Directions to “NESSES OPTICAL LTD ” Practice Location

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