Organization
FABULOUS OPTICAL OF LI CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BARAYEV (OWNER)
(646) 321-5802
Entity
Organization
Contact information
Practice address
2034 GREEN ACRES MALL STE 66A, VALLEY STREAM, NY 11581-1545
(347) 379-0023
Mailing address
2034 GREEN ACRES MALL STE 66A, VALLEY STREAM, NY 11581-1545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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