Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bazan Optometric Services LLC

Organization Optometrist · NPI 1134517584

Bazan Optometric Services LLC provides Optometrist services in Bronx, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

815 Hutchinson River Pkwy Inside Target Optical
Bronx, NY 10465-1887 Not confirmed with CMS for 11 years — call before visiting
Phone: (718) 822-2305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 006867 (NY)

Record details

NPI number1134517584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Bazan — Owner · (646) 496-7365
NPI enumeratedJanuary 7, 2015
Last updated in NPPESAugust 6, 2015
Mailing address682 Union St, Park Slope Eye, Brooklyn, NY 11215-2047

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