Organization
VICTORY VISION CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYUBOMYRA KOLESNYK (OWNER)
(718) 622-2020
Entity
Organization
Contact information
Practice address
565 ATLANTIC AVE, BROOKLYN, NY 11217-1913
(718) 622-2020
(718) 622-5404
Mailing address
565 ATLANTIC AVE, BROOKLYN, NY 11217-1913
(718) 622-2020
(718) 622-5404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006618-1
NY
152WC0802X
Corneal and Contact Management Optometrist
Primary
006618-1
NY
152WL0500X
Low Vision Rehabilitation Optometrist
006618-1
NY
152WX0102X
Occupational Vision Optometrist
006618-1
NY
156FX1800X
Optician
008716
NY
332H00000X
Eyewear Supplier
008716-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857014
—
NY
05
—
02967568
—
NY
05
—
02970267
—
NY
Enumeration date
11/25/2007
Last updated
01/21/2015
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