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Organization
OPTICALVIEWLLC
Active
Organization
OPTICALVIEWLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POLINA GRIZONT OPTITION (PRESIDENT)
(732) 297-2020
Entity
Organization
Contact information
Practice address
400 RANEISSANCE BLVD., NONE, NORTH BRUNSWICK, NJ 08902
(732) 297-2020
Mailing address
400 RANEISSANCE BLVD., NORTH BRUNSWICK, NJ 08902
(732) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3443
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17102
SPECTERA
NJ
01
—
43971
DAVIS VISION
NJ
05
—
7869002
—
NJ
01
—
NJ 3443
EYEMED
NJ
Enumeration date
05/21/2007
Last updated
08/22/2020
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