Provider Demographics
NPI:1215372750
Name:GLOBAL OPTICS,INC.
Entity Type:Organization
Organization Name:GLOBAL OPTICS,INC.
Other - Org Name:FLATBUSH OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:GONIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-469-3311
Mailing Address - Street 1:2011 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3801
Mailing Address - Country:US
Mailing Address - Phone:718-469-3311
Mailing Address - Fax:718-928-7262
Practice Address - Street 1:2011 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3801
Practice Address - Country:US
Practice Address - Phone:718-469-3311
Practice Address - Fax:718-928-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6985156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02241101Medicaid
NYA100001590OtherMEDICARE PTAN