MEDICARE: OPTICLEAR VISION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1033974795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICLEAR VISION INC

Provider Business Mailing Address
First Line	:	6514 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3931
Country	:	US
Telephone Number	:	917-933-9280
Fax Number	:	718-513-3887

Provider Business Practice Location Address
First Line	:	6514 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3931
Country	:	US
Telephone Number	:	917-933-9280
Fax Number	:	718-513-3887

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOUKUN CHEN
Credential	:
Telephone Number	:	917-933-9280

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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Directions to “OPTICLEAR VISION INC ” Practice Location

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