Organization
SPECS ON SITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN TRUSELL (LICENSE OPTICIAN)
(347) 922-4836
Entity
Organization
Contact information
Practice address
252 JAVA ST STE 222, BROOKLYN, NY 11222-5598
(347) 208-2270
Mailing address
252 JAVA ST STE 222, BROOKLYN, NY 11222-5598
(347) 208-2270
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
12/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up