Organization · NPI-2
Elegant Eyes, INC
Technician/Technologist, Optician · Newark, NJ
NPI number1265635932
StatusActive
Last updated in NPPESMay 22, 2012
Details
- NPI
- 1265635932
- Entity type
- Organization (NPI-2)
- Legal business name
- Elegant Eyes, INC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2007
- Last updated
- May 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | D1360 | NJ | Yes |
Practice location
875 Broad StNewark, NJ 07102-2622
Phone 973-622-4492 · Fax 973-622-5919
Mailing address
875 Broad StNewark, NJ 07102-2622
Phone 973-622-4492 · Fax 973-622-5919
Authorized official
Denise Vennetta Slaughter
President
9736224492
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