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

Mr. Ilya Davidson, OPTICIAN

Individual provider Optician · NPI 1063759082

Mr. Ilya Davidson, OPTICIAN is an Optician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

324 Atlantic Ave
Brooklyn, NY 11201-5852
Phone: (718) 624-6700
Fax: (718) 624-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 0088961 (NY)

Record details

NPI number1063759082
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 10, 2013
Mailing address324 Atlantic Ave, Brooklyn, NY 11201-5852

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