9TH Street Vision Care, Inc
Organization Active NPI Optometrist · Brooklyn, NY
NPI 1679943005 · NPPES record last updated Jun 27, 2019
Key facts
- NPI
- 1679943005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 9TH STREET VISION CARE, INC
- Practice address
- 332 9TH Street
Brooklyn, NY 11215 - Phone
- (718) 965-2545
- Fax
- (718) 965-1127
- NPI assigned
- Sep 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Minh D Vu, OD
- Title
- Owner
- Phone
- (718) 873-3161
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 9TH Street Vision Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Ophthalmology Physician |
207W00000X |
Addresses
Primary practice location
332 9TH Street
Brooklyn, NY 11215
Mailing address
332 9TH Street
Brooklyn, NY 11215
Phone (718) 965-2545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04606800 | Medicaid | NY |
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.