MEDICARE: GLOBAL OPTICS,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	156FX1800X	Optician	6985	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	A100001590	OTHER	NY	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215372750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL OPTICS,INC.

Provider Business Mailing Address
First Line	:	2011 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-3801
Country	:	US
Telephone Number	:	718-469-3311
Fax Number	:	718-928-7262

Provider Business Practice Location Address
First Line	:	2011 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-3801
Country	:	US
Telephone Number	:	718-469-3311
Fax Number	:	718-928-7262

Authorized Official
Title or Position	:	OPTICIAN/OWNER
Name	:	MR. OLEG GREGORY GONIK
Credential	:
Telephone Number	:	718-469-3311

Provider Enumeration Date	:	05/09/2013
Last Update Date	:	06/03/2013

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Directions to “GLOBAL OPTICS,INC. ” Practice Location

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