Provider Demographics
NPI:1982646766
Name:FLATBUSH EYECARE ASSOCIATES INC.
Entity Type:Organization
Organization Name:FLATBUSH EYECARE ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-338-0435
Mailing Address - Street 1:1137 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4518
Mailing Address - Country:US
Mailing Address - Phone:718-338-0435
Mailing Address - Fax:718-338-2573
Practice Address - Street 1:1137 E 23RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4518
Practice Address - Country:US
Practice Address - Phone:718-338-0435
Practice Address - Fax:718-338-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5542156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
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NY49716284OtherMULTIPLAN
NYC147D1OtherEMPIRE BLUE CROSS BLUE SH
NY7398219OtherAETNA