NPI 1023655883
Nyc Optical Group LLC
Practice location
- Address
- 5623 5th Ave, Brooklyn, NY 11220-3414
- Phone
- (718) 635-9333
- Mailing address
- 1354 Pennsylvania Ave, Brooklyn, NY 11239-2111
Authorised official
- Name
- Andrey Gan
- Title
- Owner
- Phone
- (718) 902-9592
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1023655883
- Entity type
- Organization
- NPI issued
- 28 Nov 2019
- Record last updated
- 19 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.