Organization
THE EYEGLASS SHOPPE OF MADISON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ZICCARELLO (PRESIDENT)
(973) 377-7144
Entity
Organization
Contact information
Practice address
26 WAVERLY PL, MADISON, NJ 07940-1807
(973) 377-7144
Mailing address
26 WAVERLY PL, MADISON, NJ 07940-1807
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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