Healthcare Provider Details

I. General information

NPI: 1518614197
Provider Name (Legal Business Name): BRIGHT VISION FAMILY EYECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 UNION ST STE 3M-L
FLUSHING NY
11354-5543
US

IV. Provider business mailing address

3808 UNION ST STE 3M-L
FLUSHING NY
11354-5543
US

V. Phone/Fax

Practice location:
  • Phone: 917-293-0221
  • Fax:
Mailing address:
  • Phone: 917-293-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. ZHICHENG CHEN
Title or Position: MANAGER
Credential:
Phone: 917-293-0221