Optical Warehouse Outlet of Wiiliamsburge

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007005 Issued in NY

Legal business name

OPTICAL WAREHOUSE OUTLET OF WIILIAMSBURGE

Practice address

366 Graham Ave
Brooklyn, NY 11211-2410

Phone

(718) 388-3300

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vadim Kruzhkov, OPTICIAN

Title

Manager

Phone

(718) 388-3300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811066111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112410",
            "telephone_number": "718-388-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112410",
            "telephone_number": "718-388-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL WAREHOUSE OUTLET OF WIILIAMSBURGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUZHKOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-388-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T6451-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optical Lab
• Optical Latina
• Optical Showroom Inc
• Optical Warehouse Outlet Nyc Incorporated
• Optical Warehouse Outlet of Brooklyn Inc
• Optical Warehouse Outlet of Williamsburg
• Optical World
• Optical World of Fulton LLC
• Optically Yours
• Opticare Health, Inc

• 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 Sep 11, 2025; 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.