SUPREME EYECARE CENTER CORP
NPI 1699493049
Optometrist in Brooklyn, NY

Q: 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.

Q: What is Supreme Eyecare Center Corp's specialty?

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

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: August 02, 2026.

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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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA A HEADLEY MD

Internal Medicine