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

Supreme Vision Center Inc

Organization Vision Therapy Optometrist · NPI 1265106496

Supreme Vision Center Inc is a Vision Therapy Optometrist in Bronx, New York. Registered with an NPI since 2021.

In the registry since
2021
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

691H Coop City Blvd
Bronx, NY 10475-1673
Phone: (917) 642-1035
Show map & directions

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

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X

Record details

NPI number1265106496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Bangiyev — Owner/President · (718) 866-1740
Other names Fabulous Optical; Fabulous Optical
NPI enumeratedAugust 2, 2021
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address200 W 125th St, New York, NY 10027-4410

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