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FABULOUS OPTICAL
NPI 1235538596
Optometrist in South Richmond Hill, NY

Active since August 22, 2014
12102 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 835-3400 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fabulous Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FABULOUS OPTICAL (NPI 1235538596) is a healthcare organization registered as an optometrist in South Richmond Hill, New York and active in the NPI registry since August 2014. The organization lists Mark Barayev, Owner, as its authorized official.

NPPES Registry Identity

NPI1235538596
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLIBERTY OPTICAL CORP
Location Address12102 LIBERTY AVESouth Richmond Hill, NY 11419-2112
Mailing Address12102 Liberty AveSouth Richmond Hill, NY 11419-2112 · (718) 835-3400
Phone(718) 835-3400
Organization SubpartNo
Authorized OfficialMark BarayevOwner · (718) 835-3400
Enumeration DateAugust 22, 2014
✔ NPI 1235538596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV007786
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12102 LIBERTY AVE, South Richmond Hill, NY 11419
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Other Names 1

Doing Business AsFabulous Optical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fabulous Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fabulous Optical, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

16111 JAMAICA AVE
Jamaica, NY 11432
(347) 249-3605
✔ PECOS✔ Accepts Medicare1.8 mi
Ian Olexio, OD
Optometry
NPI 1184392490
16415 JAMAICA AVE
Jamaica, NY 11432
(929) 218-7155
✔ PECOS1.9 mi
Vivek Goyal, OD
Optometry
NPI 1003461880
16501 JAMAICA AVE
Jamaica, NY 11432
(718) 523-0730
✔ PECOS1.9 mi
Gursewak Singh, OD
Optometry
NPI 1891476347
457 KNICKERBOCKER AVE
Brooklyn, NY 11237
(718) 386-0021
✔ PECOS5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Optical Corp's NPI number?

The NPI number for Liberty Optical Corp is 1235538596. It was assigned to this organization in the NPPES registry on August 22, 2014. The provider is doing business as Fabulous Optical.

Where is Liberty Optical Corp located?

Liberty Optical Corp is located at 12102 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 835-3400.

What is Liberty Optical Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Liberty Optical Corp enrolled in Medicare?

Yes. Liberty Optical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Optical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Liberty Optical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liberty Optical Corp accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Liberty Optical Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Optical Corp was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.