Organization
EYEWEAR PALACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR KOLESNYK (MANAGER)
(718) 915-0791
Entity
Organization
Contact information
Practice address
395 FLATBUSH AVENUE EXT, STORE # 8, BROOKLYN, NY 11201-5300
(718) 625-7500
Mailing address
395 FLATBUSH AVENUE EXT, BROOKLYN, NY 11201-5300
(718) 625-7500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NY
152WL0500X
Low Vision Rehabilitation Optometrist
—
NY
156FC0800X
Contact Lens Technician/Technologist
—
NY
156FX1800X
Optician
—
NY
332H00000X
Eyewear Supplier
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02967568
—
NY
Enumeration date
11/05/2013
Last updated
11/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us