MEDICARE: GLASSES ARE US

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	C009086	NY

General Provider Information

NPI Number	:	1538606900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLASSES ARE US

Provider Business Mailing Address
First Line	:	1010 AVENUE L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4710
Country	:	US
Telephone Number	:	718-600-1531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 AVENUE L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4710
Country	:	US
Telephone Number	:	718-600-1531
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROMAN MOSTOVOY
Credential	:	OD
Telephone Number	:	718-600-1531

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	01/24/2017

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Directions to “GLASSES ARE US ” Practice Location

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