=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942128855
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEGA VISION CENTER OF AVE U INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 187 AVENUE U
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11223-3741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-373-2020
-----------------------------------------------------
Fax | 718-373-9805
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 191 AVENUE U 2 FL
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-373-2020
-----------------------------------------------------
Fax | 718-373-9805
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | DMITRY VAYNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-373-2020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156FX1800X
-----------------------------------------------------
Taxonomy Name | Optician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------