OPTICAL PALACE2 LLC NPI 1912072273

NPI Information

NPI: 1912072273
Provider Name: OPTICAL PALACE2 LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
461 CENTRAL AVE
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 420-1222
Get Directions

OPTICAL PALACE2 LLC 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. OPTICAL PALACE2 LLC NPI is 1912072273. The provider is registered as an organization entity type.

The provider's business location address is:

461 CENTRAL AVE
JERSEY CITY, NJ
ZIP 07307-740
Phone: (201) 420-1222
Fax: (201) 420-1369

The provider's authorized official is Mukul C Raithatha .
The authorized official title is Owner and has the following contact phone number (201) 420-1222.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 6/4/2008.

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	332H00000X	Eyewear Supplier				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	0071811	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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »