Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Mall Vision Express, LLC

Organization Eyewear Supplier · NPI 1982148763

Broadway Mall Vision Express, LLC is an Eyewear Supplier in Hicksville, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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

358 Broadway Mall Broadway Mall Ste 371A
Hicksville, NY 11801-2709
Phone: (516) 938-0055
Fax: (516) 938-8667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 005761 (NY)

Record details

NPI number1982148763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonid Vayner — President · (516) 938-0055
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016
Mailing address358 Broadway Mall, Broadway Mall Suite 371a, Hicksville, NY 11801-2709

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