Supreme Vision Center Inc
NPI 1265106496ActiveOrganization· Optometrist, Vision Therapy· Bronx, NY
Optometrist, Vision Therapy in Bronx, New York, registered in NPPES in August 2021. The authorized official on file is Edward Bangiyev, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265106496 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2021 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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