Organization
SUPER VISION OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA MORENO OPTICIAN (OWNER)
(718) 491-2437
Entity
Organization
Contact information
Practice address
8311 5TH AVE, BROOKLYN, NY 11209-4510
(718) 491-2437
(718) 491-2438
Mailing address
8311 5TH AVE, BROOKLYN, NY 11209-4510
(718) 491-2437
(718) 491-2438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006605-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720007
—
NY
Enumeration date
10/12/2006
Last updated
09/23/2025
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