Ibmb Optical Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

IBMB OPTICAL CORP

Practice address

2603 Bath Ave
Brooklyn, NY 11214-5501

Phone

(347) 492-4353

Fax

(347) 492-4355

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Barayev

Title

Manager

Phone

(347) 492-4353

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1215102827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145501",
            "telephone_number": "347-492-4353",
            "fax_number": "347-492-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145501",
            "telephone_number": "347-492-4353",
            "fax_number": "347-492-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBMB OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BARAYEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-492-4353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bimbo Ibiloye
• Johnson Gbenga Ibisanya, LPN
• Mary Ibitayo, RN
• Adebimpe Julianah Ibitoye, RN
• Akinpelu David Ibitoye, LPN
• Maliha Ibnat
• Azamat Ibragimov
• Elizabeth Ibragimov, OTR/L
• Simona Arcadia Ibragimov
• Ninara Ibragimova

• Eyewear Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.