Organization Active NPI

Nostrand Optical, Inc

  • Optician
  • Brooklyn, NY
National Provider Identifier
1831275510
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007691-1 Issued in NY
Legal business name
NOSTRAND OPTICAL, INC
Practice address
1018C Nostrand Ave
Brooklyn, NY 11225-3509
Phone
(718) 773-9391
Fax
(718) 773-9391
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Igor Valery Supitskiy, OPTICIAN
Title
President
Phone
(718) 773-9391

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV0056301 NY
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 007691-1 NY Primary

Addresses

Primary practice location

1018C Nostrand Ave
Brooklyn, NY 11225-3509

Mailing address

1018C Nostrand Ave
Brooklyn, NY 11225-3509
Phone (718) 773-9391

Other identifiers 1

IdentifierTypeStateIssuer
02241032MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000502 NY Part B Supplier - Clinic/Group Practice 6305735143 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1018C Nostrand Ave
Brooklyn, NY 11225
Phone (718) 773-9391

1018 Nostrand Ave
#C
Brooklyn, NY 11225
Phone (718) 773-9391

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831275510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018C NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253509",
            "telephone_number": "718-773-9391",
            "fax_number": "718-773-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018C NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253509",
            "telephone_number": "718-773-9391",
            "fax_number": "718-773-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRAND OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SUPITSKIY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "VALERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-773-9391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0056301",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007691-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.