Pavonia Optical Inc. in Jersey City - Eyewear Supplier
Pavonia Optical Inc. - NPI 1316136401
Pavonia Optical Inc. is a Eyewear Supplier in Jersey City, New Jersey. Pavonia Optical Inc. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Pavonia Optical Inc. is 1316136401. The last update date is 2007-12-14.
Pavonia Optical Inc.'s current location address is 600 Pavonia Ave, Jersey City, New Jersey. You can contact this provider via phone number 2019639187. The mailing address for Pavonia Optical Inc. is 600 Pavonia Ave, Jersey City, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pavonia Optical Inc. |
|---|---|
| Address | 600 Pavonia Ave, Jersey City, New Jersey |
| Phone Number | 2019639187 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Lurie Glenn |
| Credentials | OPHTHALMIC |
| Telephone Number | 2019639187 |
NPI Number Detail
| NPI Number | 1316136401 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
| Address | 600 Pavonia Ave |
|---|---|
| City | Jersey City |
| State | New Jersey (NJ) |
| Post Code | 7306 |
| Phone Number | 2019639187 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 31TD00155100 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Post Comment/ Review Below
What is the unique identifier code issued to Pavonia Optical Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Pavonia Optical Inc. has been assigned the NPI (National Provider Identifier) 1316136401. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Pavonia Optical Inc. is physically located?
The Pavonia Optical Inc. is situated at the following address: 600 Pavonia Ave, Jersey City, NJ 7306.
What is the Pavonia Optical Inc.'s specialty and taxonomy code?
The Pavonia Optical Inc.'s specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Pavonia Optical Inc. receive the assignment of its 1316136401 from the Centers for Medicare & Medicaid Services?
The Pavonia Optical Inc. was issued its 1316136401 by the Centers for Medicare & Medicaid Services on 2007-10-15.
As of what date was the information pertaining to Pavonia Optical Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pavonia Optical Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-14.