Victory Vision Center Llc

LBN: Victory Vision Center Llc
Victory Vision Center Llc is an health care organization with primary practice located at 565 Atlantic Ave , Brooklyn NY 11217-1913. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Contact Lens Fitter, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Victory Vision Center Llc can be contacted via phone (718) 915-0791, or through Kolesnyk, Viktor via phone (718) 915-0791.

Contact Information

Primary practice address
565 Atlantic Ave Brooklyn NY 11217-1913
Fax: (718) 622-5404
Website:
Authorized official contact:
Name: Kolesnyk, Viktor

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 008816 New York
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X 008816 New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 008716 New York

Profile Details

NPI number 1386033868
LBN Legal business name Victory Vision Center Llc
DBA Doing business as
Authorized official Kolesnyk, Viktor
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2015
Last updated Jan 21st, 2015 - about 9 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 1386033868 NPPES
New York MEDICAID 02857014

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