# GREEN VISION OPTICIAN P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497147524
- **Authorized official:** ELIZA IOSILEVICH OPTICIAN (PRESIDENT)
- **Authorized official phone:** (347) 757-5475

## Contact information

- **Practice address:** 404 EAST 117 ST, \#1, NY, NY 10035
- **Practice address phone:** (917) 688-7439
- **Mailing address:** 404 EAST 117 ST, \#1, NY, NY 10035
- **Mailing address phone:** (917) 688-7439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 009190-1 | NY | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 02/26/2015