Organization Active NPI

Nyc Optical Group 1 Inc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1033803572
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NYC OPTICAL GROUP 1 INC
Practice address
6010 Bay Pkwy Ste 101
Brooklyn, NY 11204-6082
Phone
(718) 339-6600
NPI assigned
Jun 7, 2023
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianna Gulyak
Title
Owner
Phone
(718) 339-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6010 Bay Pkwy Ste 101
Brooklyn, NY 11204-6082

Mailing address

6010 Bay Pkwy Ste 101
Brooklyn, NY 11204-6082

Other practice location 1

532 Neptune Ave Unit 10
Brooklyn, NY 11224
Phone (718) 339-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231028000101 NY Part B Supplier - Clinic/Group Practice 5193171056 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nyc Optical Group 1 Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6010 Bay Pkwy
Ste 101
Brooklyn, NY 11204
Phone (718) 339-6600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1033803572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAY PKWY STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046082",
            "telephone_number": "718-339-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Neptune Ave Unit 10",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11224",
            "country_code": "US",
            "telephone_number": "718-339-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NYC OPTICAL GROUP 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GULYAK",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-339-6600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.