MEDICARE: A&L OPTICAL CORPORATION

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

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	:	1467403188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&L OPTICAL CORPORATION

Provider Business Mailing Address
First Line	:	2108 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-5802
Country	:	US
Telephone Number	:	718-968-8866
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-5802
Country	:	US
Telephone Number	:	718-968-8866
Fax Number	:	718-968-8855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IZABELLA GUGILEV-CALIK
Credential	:
Telephone Number	:	718-968-8866

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	08/22/2020

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Directions to “A&L OPTICAL CORPORATION ” Practice Location

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