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SUPREME EYECARE CENTER CORP
NPI 1699493049
Optometrist in Brooklyn, NY

Active since August 19, 2022
457 KNICKERBOCKER AVE, BROOKLYN, NY 11237(646) 321-5802 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Supreme Eyecare Center Corp NPPES

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

SUPREME EYECARE CENTER CORP (NPI 1699493049), doing business as Supreme Optical, is a healthcare organization registered as an optometrist in Brooklyn, New York and active in the NPI registry since August 2022. The organization lists Boris Bangiyev, Owner, as its authorized official.

NPPES Registry Identity

NPI1699493049
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSUPREME EYECARE CENTER CORP
Location Address457 KNICKERBOCKER AVEBrooklyn, NY 11237-5107
Mailing Address457 Knickerbocker AveBrooklyn, NY 11237-5107 · (646) 321-5802
Phone(646) 321-5802
Organization SubpartNo
Authorized OfficialBoris BangiyevOwner · (646) 321-5802
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1699493049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
457 KNICKERBOCKER AVE, Brooklyn, NY 11237
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Other Names 1

Doing Business AsSupreme 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 Oscar Health.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)

Supreme Eyecare Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Supreme Eyecare Center Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Gauhar Kanimetova, OD
Optometry
NPI 1033604517
457 KNICKERBOCKER AVE
Brooklyn, NY 11237
(718) 386-0021
✔ PECOSSame address
Gursewak Singh, OD
Optometry
NPI 1891476347
457 KNICKERBOCKER AVE
Brooklyn, NY 11237
(718) 386-0021
✔ PECOSSame address
16111 JAMAICA AVE
Jamaica, NY 11432
(347) 249-3605
✔ PECOS✔ Accepts Medicare6.3 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 Supreme Eyecare Center Corp's NPI number?

The NPI number for Supreme Eyecare Center Corp is 1699493049. It was assigned to this organization in the NPPES registry on August 19, 2022. The provider is doing business as Supreme Optical.

Where is Supreme Eyecare Center Corp located?

Supreme Eyecare Center Corp is located at 457 Knickerbocker Ave, Brooklyn, NY 11237. The listed phone number is (646) 321-5802.

What is Supreme Eyecare Center Corp's specialty?

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

Is Supreme Eyecare Center Corp enrolled in Medicare?

Yes. Supreme Eyecare Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Supreme Eyecare Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Supreme Eyecare Center 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Supreme Eyecare Center Corp accept?

Health plans from Oscar Health list Supreme Eyecare Center 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 Supreme Eyecare Center Corp was last updated on August 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.