Organization
INNOVATION OPTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MITCHELL GREENBERG (OWNER)
(908) 245-0900
Entity
Organization
Contact information
Practice address
127 CHESTNUT ST, ROSELLE PARK, NJ 07204-2275
(908) 245-0900
Mailing address
127 CHESTNUT ST, ROSELLE PARK, NJ 07204-2275
(908) 245-0900
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2989107-01
—
NJ
Enumeration date
10/18/2006
Last updated
07/21/2022
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