Provider Demographics
NPI:1619000874
Name:2020 OPTOMETRY P.C.
Entity Type:Organization
Organization Name:2020 OPTOMETRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:LIKHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-667-6700
Mailing Address - Street 1:2940 OCEAN PRKWY
Mailing Address - Street 2:APT 15-O
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:917-667-6700
Mailing Address - Fax:
Practice Address - Street 1:2940 OCEAN PRKWY
Practice Address - Street 2:APT 15-O
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:917-667-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007106152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty