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

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