Organization
OPTICAL PALACE OF PATERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAISHRI B RAITHATHA (OWNER)
(972) 881-1030
Entity
Organization
Contact information
Practice address
93 MAIN ST, PATERSON, NJ 07505-1026
(973) 881-1030
(973) 881-1031
Mailing address
93 MAIN ST, PATERSON, NJ 07505-1026
(973) 881-1030
(973) 881-1031
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105058
—
NJ
Enumeration date
11/27/2006
Last updated
08/22/2020
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