Fabulous Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008630 Issued in NY

Legal business name

FABULOUS OPTICAL INC

Practice address

546 Nostrand Ave
Brooklyn, NY 11216-2013

Phone

(718) 230-0774

Fax

(718) 230-0747

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Edward Bangiyev

Title

President

Phone

(718) 230-0774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Supreme Vision Center Inc

  • Vision Therapy Optometrist
  • Bronx, NY
  • NPI 1265106496

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emika Ikegami Lewis, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1700565512
  Medicare reassignment NPD
• Tammy Ngo, O.D.

  • Optometrist
  • New York, NY
  • NPI 1275581209
  Medicare reassignment NPD
• Mikhail Bangiyev, OPTICIAN

  • Optician
  • Bronx, NY
  • NPI 1295096402
  NPD

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1194185900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162013",
            "telephone_number": "718-230-0774",
            "fax_number": "718-230-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162013",
            "telephone_number": "718-230-0774",
            "fax_number": "718-230-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-0774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Fabian, FNP-BC
• Jazmine Fabian
• Leah Fabian, MS, OTR/L
• Fabiolla Fabre
• Mina B. Fabricante
• Avia J Facey, NP
• Nacadia Facey
• Ray V. Facey, CASAC
• Trudy Facey
• Facial Plastic Surgery Otolaryngology LLC

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.