MEDICARE: ACE OPTICAL INCORPORATED

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	332H00000X	Eyewear Supplier

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	:	1871548420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE OPTICAL INCORPORATED

Provider Business Mailing Address
First Line	:	2517 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4934
Country	:	US
Telephone Number	:	718-332-0400
Fax Number	:	718-332-0088

Provider Business Practice Location Address
First Line	:	2517 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4934
Country	:	US
Telephone Number	:	718-332-0400
Fax Number	:	718-332-0088

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ELONA KLEIMAN
Credential	:
Telephone Number	:	718-332-0400

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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Directions to “ACE OPTICAL INCORPORATED ” Practice Location

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