OPTICAL BOUTIQUE LLC NPI 1033371331

NPI Information

NPI: 1033371331
Provider Name: OPTICAL BOUTIQUE LLC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1 SPRING ST
UNIT 101
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 246-6895
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OPTICAL BOUTIQUE LLC is an optician technician technologist in New Brunswick, NJ. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. OPTICAL BOUTIQUE LLC NPI is 1033371331. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SPRING ST
UNIT 101
NEW BRUNSWICK, NJ
ZIP 08901-276
Phone: (732) 246-6895

The provider's authorized official is Karina Manukyan .
The authorized official title is Optician/owner and has the following contact phone number (732) 246-6895.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 2/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		270A00552600	NEW JERSEY	No
2	156FX1800X	Technician/Technologist	Optician	31TD00317100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0165441	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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