Supreme Vision Center Inc
NPI 1265106496 · Vision Therapy Optometrist · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Vision Center Inc is a Vision Therapy Optometrist organization in Bronx, NY (NPI 1265106496).
Provider details
- NPI number
- 1265106496
- Entity type
- Organization
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Edward Bangiyev, Owner/President(718) 866-1740
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fabulous Optical
- Doing business as
- Fabulous Optical
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Frequently asked questions
- What is Supreme Vision Center Inc's NPI number?
- Supreme Vision Center Inc's National Provider Identifier (NPI) is 1265106496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Vision Center Inc?
- Supreme Vision Center Inc is classified in the NPPES registry as Vision Therapy Optometrist (Eye and Vision Services Providers).
- Where is Supreme Vision Center Inc located?
- Supreme Vision Center Inc's practice location on file with NPPES is 691h Coop City Blvd, Bronx, NY 10475-1673.
- What is Supreme Vision Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Supreme Vision Center Inc is (917) 642-1035.
- Does Supreme Vision Center Inc accept Medicare?
- Supreme Vision Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supreme Vision Center Inc?
- The authorized official listed on Supreme Vision Center Inc's NPPES record is Edward Bangiyev, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Vision Center Inc's NPI active?
- Yes — Supreme Vision Center Inc's NPI (1265106496) is active in the NPPES registry as of the last update on 2022-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.