Organization
SUPREME OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BANGIYEV (OWNER)
(917) 642-1035
Entity
Organization
Contact information
Practice address
546 NOSTRAND AVE, BROOKLYN, NY 11216-2013
(718) 230-0774
(929) 234-3172
Mailing address
200 W 125TH ST, NEW YORK, NY 10027-4410
(718) 230-0774
(929) 234-3172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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