Healthcare Provider Details

I. General information

NPI: 1801073093
Provider Name (Legal Business Name): URBAN VISION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 7TH AVE
BROOKLYN NY
11215
US

IV. Provider business mailing address

326 7TH AVENUE
BROOKLYN NY
11215
US

V. Phone/Fax

Practice location:
  • Phone: 718-832-3513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number005587
License Number StateNY

VIII. Authorized Official

Name: DR. ADAM FRIEDLAND
Title or Position: OWNER
Credential: OD
Phone: 718-832-3513