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PAVONIA OPTICAL INC. NPI 1316136401


NPI Information

NPI: 1316136401
Provider Name: PAVONIA OPTICAL INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
600 PAVONIA AVE
6TH FLOOR
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 963-9187
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PAVONIA OPTICAL INC. is an eyewear supplier in Jersey City, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PAVONIA OPTICAL INC. NPI is 1316136401. The provider is registered as an organization entity type.

The provider's business location address is:

600 PAVONIA AVE
6TH FLOOR
JERSEY CITY, NJ
ZIP 07306-929
Phone: (201) 963-9187

The provider's authorized official is Glenn Lurie .
The authorized official title is Manager and has the following contact phone number (201) 963-9187.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 12/14/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier31TD00155100NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10137990001MEDICARE NSCNEW 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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