Organization
OPTIC SHADES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARSEN FUZAYLOV (OWNER)
(212) 686-8666
Entity
Organization
Contact information
Practice address
577 2ND AVE, NEW YORK, NY 10016-6377
(212) 686-8666
Mailing address
577 2ND AVE, NEW YORK, NY 10016-6377
(212) 686-8666
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
08/15/2025
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