| Supreme Vision Center Inc | |
| 
					691h Coop City Blvd, Bronx, NY 10475-1673  | |
| (917) 642-1035 | |
| Not Available | 
| Full Name | Supreme Vision Center Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist - Vision Therapy | 
| Location | 691h Coop City Blvd, Bronx, New York | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265106496 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Primary | 
| Provider Name | Tammy Phuong Ngo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1275581209 PECOS PAC ID: 1759339054 Enrollment ID: I20050104000190  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Supreme Vision Center Inc 200 W 125th St, New York, NY 10027-4410 Ph: (212) 665-5051  | Supreme Vision Center Inc 691h Coop City Blvd, Bronx, NY 10475-1673 Ph: (917) 642-1035  | 
Ms. Deborah Esposito,  Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Holly Pl, Bronx, NY 10465 Phone: 917-217-6935  | |
Clear View Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 Burke Ave, Bronx, NY 10467 Phone: 718-547-1600  | |
Vision Quest Of Bruckner Corp. Optometrist Medicare: Medicare Enrolled Practice Location: 905 White Plains Rd, Bronx, NY 10473 Phone: 718-239-9389  | |
Creston Opticians Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2169 White Plains Rd, Bronx, NY 10462 Phone: 718-409-2200  | |
Pro Optics Corp Optometrist Medicare: Medicare Enrolled Practice Location: 2483 Grand Concourse, Bronx, NY 10468 Phone: 718-933-0187  | |
Fordham Vision Center Ny Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1 E Fordham Rd, Bronx, NY 10468 Phone: 718-733-6700 Fax: 718-733-2756  | |
Veronica Moore-stoll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200  |