FABULOUS OPTICAL
NPI 1265106496
Optometrist - Vision Therapy in Bronx, NY

Q: What is Supreme Vision Center Inc's NPI number?

The NPI number for Supreme Vision Center Inc is 1265106496. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is doing business as Fabulous Optical.

Q: What is Supreme Vision Center Inc's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Active since August 02, 2021

691H COOP CITY BLVD, BRONX, NY 10475(917) 642-1035 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2022, Nov 19, 2021, Aug 2, 2021 (3 updates tracked since 2021).

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About Fabulous Optical NPPES

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

FABULOUS OPTICAL (NPI 1265106496) is a healthcare organization registered as a vision therapy in Bronx, New York and active in the NPI registry since August 2021. The organization lists Edward Bangiyev, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1265106496

Entity TypeOrganization

Primary Taxonomy152WV0400X

Legal Business NameSUPREME VISION CENTER INC

Location Address691H COOP CITY BLVDBronx, NY 10475-1673

Mailing Address200 W 125th StNew York, NY 10027-4410 · (212) 665-5051 · Fax (212) 203-0399

Phone(917) 642-1035

Organization SubpartNo

Authorized OfficialEdward BangiyevOwner/president · (718) 866-1740

Enumeration DateAugust 2, 2021

Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2022

✔ NPI 1265106496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

691H COOP CITY BLVD, Bronx, NY 10475

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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 BlueCross BlueShield of Tennessee.Insurance ›

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 Supreme Vision Center Inc's NPI number?

The NPI number for Supreme Vision Center Inc is 1265106496. It was assigned to this organization in the NPPES registry on August 2, 2021. The provider is doing business as Fabulous Optical.

Where is Supreme Vision Center Inc located?

Supreme Vision Center Inc is located at 691H Coop City Blvd, Bronx, NY 10475. The listed phone number is (917) 642-1035.

What is Supreme Vision Center Inc's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

What insurance does Supreme Vision Center Inc accept?

Health plans from BlueCross BlueShield of Tennessee list Supreme Vision Center Inc 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 Supreme Vision Center Inc was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.