Organization
BROADWAY OPTICAL LLC
Active
Other names
Broadway Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANINE ELIZABETH GRAVES OD (OPTOMETRIST)
(201) 310-6947
Entity
Organization
Contact information
Practice address
204 BROAD AVE, PALISADES PARK, NJ 07650-1509
(201) 585-7111
Mailing address
204 BROAD AVE, PALISADES PARK, NJ 07650-1509
(201) 585-7111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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