Supreme Eyecare Center Corp
NPI 1699493049 · Optometrist · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Eyecare Center Corp is a Optometrist organization in Brooklyn, NY (NPI 1699493049).
Provider details
- NPI number
- 1699493049
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Boris Bangiyev, Owner(646) 321-5802
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
3 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
- Supreme Optical
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Supreme Eyecare Center Corp's NPI number?
- Supreme Eyecare Center Corp's National Provider Identifier (NPI) is 1699493049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Eyecare Center Corp?
- Supreme Eyecare Center Corp is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Supreme Eyecare Center Corp located?
- Supreme Eyecare Center Corp's practice location on file with NPPES is 457 Knickerbocker Ave, Brooklyn, NY 11237-5107.
- What is Supreme Eyecare Center Corp's phone number?
- The practice phone number listed in the NPPES registry for Supreme Eyecare Center Corp is (646) 321-5802.
- Does Supreme Eyecare Center Corp accept Medicare?
- Supreme Eyecare Center Corp 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 Eyecare Center Corp?
- The authorized official listed on Supreme Eyecare Center Corp's NPPES record is Boris Bangiyev, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Eyecare Center Corp's NPI active?
- Yes — Supreme Eyecare Center Corp's NPI (1699493049) is active in the NPPES registry as of the last update on 2022-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.