Organization
BROADWAY OPTICS VISION
Active
Other names
Broadway Optics Vision
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FUENTES (OWNER)
(201) 758-7600
Entity
Organization
Contact information
Practice address
4610 BERGENLINE AVE, UNION CITY, NJ 07087-5163
(201) 758-7600
(201) 758-7601
Mailing address
4610 BERGENLINE AVE, UNION CITY, NJ 07087-5163
(201) 758-7600
(201) 758-7601
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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