# OCEAN VIEW OPTICAL 5

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144682931
- **Authorized official:** MR. ANATOLIY KAGAN OPTHALMIC DISPENCER (OWNER)
- **Authorized official phone:** 17185966596

## Contact information

- **Practice address:** 453 FULTON ST, BROOKLYN, NY 11201-5207
- **Practice address phone:** (718) 596-6596
- **Practice address fax:** (718) 596-6596
- **Mailing address:** 453 FULTON ST, BROOKLYN, NY 11201-5207
- **Mailing address phone:** (718) 596-6596
- **Mailing address fax:** (718) 596-6596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | C006785-1 | NY | Yes |

## Other

- **Enumeration date:** 03/22/2016
- **Last updated:** 03/22/2016