Organization
FABULOUS OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD BANGIYEV (PRESIDENT)
(718) 230-0774
Entity
Organization
Contact information
Practice address
546 NOSTRAND AVE, BROOKLYN, NY 11216-2013
(718) 230-0774
(718) 230-0747
Mailing address
546 NOSTRAND AVE, BROOKLYN, NY 11216-2013
(718) 230-0774
(718) 230-0747
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008630
NY
Other
Enumeration date
03/07/2016
Last updated
11/19/2021
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