Provider Demographics
NPI:1578169694
Name:BRONX FAMILY EYE CARE INC
Entity Type:Organization
Organization Name:BRONX FAMILY EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BITSENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-499-2292
Mailing Address - Street 1:2336 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-6903
Mailing Address - Country:US
Mailing Address - Phone:718-220-0439
Mailing Address - Fax:
Practice Address - Street 1:593 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4727
Practice Address - Country:US
Practice Address - Phone:718-310-3303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-06
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty