Provider Demographics
NPI:1467210641
Name:B & K FAMILY EYECARE BH INC
Entity Type:Organization
Organization Name:B & K FAMILY EYECARE BH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICHKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-974-0267
Mailing Address - Street 1:1811 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5308
Mailing Address - Country:US
Mailing Address - Phone:718-684-6905
Mailing Address - Fax:
Practice Address - Street 1:1811 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5308
Practice Address - Country:US
Practice Address - Phone:718-684-6905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty