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

Eyes on Broadway Sa Inc

Organization Vision Therapy Optometrist · NPI 1396527222

Eyes on Broadway Sa Inc is a Vision Therapy Optometrist in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

825 Broadway
New York, NY 10003
Phone: (212) 475-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Vision Therapy Optometrist Taxonomy 152WV0400X

Record details

NPI number1396527222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stan Fuzaylov — Owner · (917) 412-3750
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address825 Broadway, New York, NY 10003-4702

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