Provider Demographics
NPI:1508833005
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:
Authorized Official - Last Name:GONIK
Authorized Official - Suffix:
Authorized Official - Credentials:NYSSO
Authorized Official - Phone:718-871-5152
Mailing Address - Street 1:743 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3305
Mailing Address - Country:US
Mailing Address - Phone:718-871-5152
Mailing Address - Fax:718-871-7369
Practice Address - Street 1:743 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3305
Practice Address - Country:US
Practice Address - Phone:718-871-5152
Practice Address - Fax:718-871-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT006411152W00000X
NYT006578152W00000X
NYTUV007555-1152W00000X
NYTUV007735-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02241101Medicaid
NY6090540001Medicare NSC
NY02241101Medicaid
NYCBWNT1Medicare ID - Type Unspecified
NYCAWLM1Medicare ID - Type Unspecified