OrganizationActive
Supreme Vision Center Inc
NPI 1265106496 · Vision Therapy Optometrist · Bronx, NY
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
Practice location
691h Coop City Blvd
Bronx, NY 10475-1673
Phone: (917) 642-1035
Approximate (ZIP-level) locationGet directions
Mailing address
200 W 125th St
New York, NY 10027-4410
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.