Organization · NPI-2

Optical Group Ltd

Technician/Technologist, Optician · Newark, NJ

NPI number1043340862
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1043340862
Entity type
Organization (NPI-2)
Legal business name
Optical Group Ltd
Organization subpart
No
Enumeration date
Mar 7, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

786 Broad St
Newark, NJ 07102-3728

Phone 973-642-4949 · Fax 973-621-1830

Mailing address

786 Broad St
Newark, NJ 07102-3728

Phone 973-642-4949

Authorized official

Peter Brown
Owner
2125940751

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