Healthcare Provider Details

I. General information

NPI: 1942128855
Provider Name (Legal Business Name): MEGA VISION CENTER OF AVE U INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 AVENUE U
BROOKLYN NY
11223-3741
US

IV. Provider business mailing address

191 AVENUE U 2 FL
BROOKLYN NY
11223
US

V. Phone/Fax

Practice location:
  • Phone: 718-373-2020
  • Fax: 718-373-9805
Mailing address:
  • Phone: 718-373-2020
  • Fax: 718-373-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: DMITRY VAYNER
Title or Position: PARTNER
Credential:
Phone: 718-373-2020