Healthcare Provider Details

I. General information

NPI: 1568644318
Provider Name (Legal Business Name): Y & V OPTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E. 86 ST.
NEW YORK NY
10028-3601
US

IV. Provider business mailing address

217 E 86TH ST
NEW YORK NY
10028-3617
US

V. Phone/Fax

Practice location:
  • Phone: 212-737-7874
  • Fax: 212-427-6320
Mailing address:
  • Phone: 212-737-7874
  • Fax: 212-427-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number006597-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. VITALIY IMAS
Title or Position: PRESIDENT
Credential:
Phone: 212-737-7874