MEDICARE: NEW TRENDS OPTICAL, CORP

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	332H00000X	Eyewear Supplier	TUV0058682	NY

General Provider Information

NPI Number	:	1932335759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW TRENDS OPTICAL, CORP

Provider Business Mailing Address
First Line	:	2856 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2726
Country	:	US
Telephone Number	:	718-585-5100
Fax Number	:	718-292-0805

Provider Business Practice Location Address
First Line	:	2856 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2726
Country	:	US
Telephone Number	:	718-585-5100
Fax Number	:	718-292-0805

Authorized Official
Title or Position	:	PRES.
Name	:	MRS. ELAINA ZAVILENSKY
Credential	:
Telephone Number	:	718-477-6700

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	10/13/2014

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