Organization
MDA MANAGEMENT INC
Active
Other names
OPTICANA NY
Organization subpart
No
Provider details
NPI number
Authorized official
LUIDMILA SAPERSON (PRESIDENT)
(212) 304-3585
Entity
Organization
Contact information
Practice address
4526 BROADWAY, NEW YORK, NY 10040-2404
(212) 304-3585
Mailing address
4526 BROADWAY, NEW YORK, NY 10040-2404
(212) 304-3585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV 006977
NY
156FX1800X
Optician
Primary
007305-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02826259
—
NY
Enumeration date
01/08/2007
Last updated
09/11/2025
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