Healthcare Provider Details

I. General information

NPI: 1316755036
Provider Name (Legal Business Name): MURRAY HILL OPTICAL LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 3RD AVE
NEW YORK NY
10016-4853
US

IV. Provider business mailing address

500 3RD AVE
NEW YORK NY
10016-4853
US

V. Phone/Fax

Practice location:
  • Phone: 646-750-0118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: YURIY NEKTALOV
Title or Position: CEO
Credential:
Phone: 646-750-0118