BROADWAY OPTICS VISION NPI 1124575154

NPI Information

  • NPI: 1124575154
  • Provider Name: BROADWAY OPTICS VISION
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: BROADWAY OPTICS VISION
  • Address: 4610 BERGENLINE AVE
    UNION CITY, NJ
    ZIP 07087
  • Phone: (201) 758-7600

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NPI Details

BROADWAY OPTICS VISION is an eyewear supplier in Union City, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BROADWAY OPTICS VISION NPI is 1124575154. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Optics Vision.

The provider's business location address is:

4610 BERGENLINE AVE
UNION CITY, NJ
ZIP 07087-163
Phone: (201) 758-7600
Fax: (201) 758-7601

The provider's authorized official is Nancy Fuentes .
The authorized official title is Owner and has the following contact phone number (201) 758-7600.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

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
1332H00000XEyewear SupplierYes

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: 3/30/2025

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