Organization · NPI-2

171 Market Street Of Nj INC

Technician/Technologist, Optician · Newark, NJ

NPI number1730219569
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1730219569
Entity type
Organization (NPI-2)
Legal business name
171 Market Street Of Nj INC
Organization subpart
No
Enumeration date
Mar 7, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

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

Other names

  • Eye Encounter 3 (Doing Business As)

Practice location

787 Broad St
Newark, NJ 07102-3717

Phone 973-643-3343 · Fax 973-643-3369

Mailing address

787 Broad St
Newark, NJ 07102-3717

Phone 973-643-3343 · Fax 973-643-3369

Authorized official

Peter Brown
Owner
2125940751

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