Primary Glasses

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008048 Issued in NY

Legal business name

PRIMARY GLASSES

Practice address

3009 Church Ave
Brooklyn, NY 11226-4209

Phone

(347) 406-6300

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By 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

Eugene Supitskiy

Title

President

Phone

(917) 747-7122

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Igor Valery Supitskiy, OPHTHALMIC DISPENSER

  • Optician
  • Brooklyn, NY
  • NPI 1255427654
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1649781949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264209",
            "telephone_number": "347-406-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264209",
            "telephone_number": "347-406-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY GLASSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "SUPITSKIY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-747-7122"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nausika Prifti, DO
• Irina Primak, MS ED
• Primary Care Choice Medical Testing P.C
• Primary Diagnostic Imaging PC
• Primary Eye Care Inc (Aboubacar Sangare)
• Primax Medical PC
• Prime Care Drug & Surgicals Corp
• Prime Care Drug & Surgicals Corp
• Prime Care Drug & Surgicals Corp.
• Prime Care Medical of Brighton PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.