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NPI Code Detail

MEDICARE: BV AT 86 OPTICAL NY INC

MEDICARE: BV AT 86 OPTICAL NY 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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1861853467
Entity Type Code : Organization
Provider Name (Legal Business Name) : BV AT 86 OPTICAL NY INC
Provider Business Mailing Address
First Line : 2020 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3204
Country : US
Telephone Number : 718-449-7164
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STAS SADRIAN
Credential :
Telephone Number : 718-449-7164
Provider Enumeration Date : 03/10/2016
Last Update Date : 02/27/2025

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Directions to “BV AT 86 OPTICAL NY INC ” Practice Location

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