Medplaza Optical Inc

LBN: Medplaza Optical Inc
Medplaza Optical Inc is an health care organization with primary practice located at 3065 Brighton 14Th St , Brooklyn NY 11235-5501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Medplaza Optical Inc can be contacted via phone (718) 332-5047, or through Kovbasyuk, Alexander via phone (718) 332-5047.

Contact Information

Primary practice address
3065 Brighton 14Th St Brooklyn NY 11235-5501
Phone: (718) 332-5047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kovbasyuk, Alexander
Phone: (718) 332-5047

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT006567 New York

Profile Details

NPI number 1568405629
LBN Legal business name Medplaza Optical Inc
DBA Doing business as
Authorized official Kovbasyuk, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 23rd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568405629 NPPES
New York MEDICAID 02409043

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