in Clifton - Eyewear Supplier

- NPI 1508023250

is a Eyewear Supplier in Clifton, New Jersey. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for is 1508023250. The last update date is .

's current location address is 403 Clifton Ave, Clifton, New Jersey. You can contact this provider via phone number 9734738102. The mailing address for is 403 Clifton Ave, Clifton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 403 Clifton Ave, Clifton, New Jersey
Phone Number 9734738102
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1508023250
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 403 Clifton Ave
City Clifton
State New Jersey (NJ)
Post Code 70112642
Phone Number 9734738102
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 25MA02440470
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2092184 NY --

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