NPI 1144682931

Ocean View Optical 5

Organisation Health Maintenance Organization Brooklyn, NY

Practice location

Address: 453 Fulton St, Brooklyn, NY 11201-5207
Phone: (718) 596-6596
Fax: (718) 596-6596

Authorised official

Name: Anatoliy Kagan
Title: Owner
Phone: (718) 596-6596

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence C006785-1 (NY)

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Registry record

NPI: 1144682931
Entity type: Organization
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

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.