MEDICARE: EYE D VISION, LLC

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	TUV7287	NY

General Provider Information

NPI Number	:	1922372366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE D VISION, LLC

Provider Business Mailing Address
First Line	:	2057 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3203
Country	:	US
Telephone Number	:	718-355-9656
Fax Number	:	718-355-9654

Provider Business Practice Location Address
First Line	:	2057 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3203
Country	:	US
Telephone Number	:	718-355-9656
Fax Number	:	718-355-9654

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. DIANA NGUYEN
Credential	:	OD
Telephone Number	:	718-355-9656

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	07/15/2013

Similar Medicare Providers

1134238652 — RITE AID OF NEW YORK INC
Practice Location Address:

2007 86TH STREET
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1669653275 — DEBORAH A TRAINOR
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1962684092 — SVETLANA RAKHMAN RPH
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1831352137 — DR. DIANA NGUYEN O.D.
Practice Location Address:

2057 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-355-9656
Practice Fax: 718-355-9654

1902044803 — JOHN THEODORAKIS RPH
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1447785316 — FOUR SEASON MEDICAL PLLC
Practice Location Address:

2041 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-680-8881
Practice Fax: 718-680-7880

Directions to “EYE D VISION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.