Organization
NOSTRAND OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR VALERY SUPITSKIY OPTICIAN (PRESIDENT)
(718) 773-9391
Entity
Organization
Contact information
Practice address
1018C NOSTRAND AVE, BROOKLYN, NY 11225-3509
(718) 773-9391
(718) 773-9391
Mailing address
1018C NOSTRAND AVE, BROOKLYN, NY 11225-3509
(718) 773-9391
(718) 773-9391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV0056301
NY
156FX1800X
Optician
Primary
007691-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02241032
—
NY
Enumeration date
10/27/2006
Last updated
09/11/2025
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