Bristol Optical

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRISTOL OPTICAL

Practice address

949 Pennsylvania Ave
Brooklyn, NY 11207-8499

Phone

(718) 649-6526

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Mark Yadgarov, MARK YADGAROV

Title

Employee

Phone

(718) 649-6526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1366077265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078499",
            "telephone_number": "718-649-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078499",
            "telephone_number": "718-649-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "YADGAROV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "718-649-6526",
        "authorized_official_credential": "MARK YADGAROV"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Brissett, FNP
• Taneisha Lavanna Brissett
• Gabrielle Brisson
• Lucien M. Brisson, CASAC
• Jali Brister
• Bristol Opticians Inc.
• Rose Suzette Bristol
• Vinette Bristol
• Colin Paul Brite, MASSAGE THERAPIST
• Daniel Brito

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.