IndividualActive
Ilya Davidson, OPTICIAN
NPI 1063759082 · Optician · Brooklyn, NY
Ilya Davidson, OPTICIAN is a Optician provider in Brooklyn, NY (NPI 1063759082).
Provider details
- NPI number
- 1063759082
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0088961 (NY)
Practice location
324 Atlantic Ave
Brooklyn, NY 11201-5852
Phone: (718) 624-6700
Fax: (718) 624-6701
Street-level locationGet directions
Mailing address
324 Atlantic Ave
Brooklyn, NY 11201-5852
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2013-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.