Organization
OPTICAL OUTLET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OPTICAL OUTLET (BILLING)
(973) 298-1400
Entity
Organization
Contact information
Practice address
1430 MAIN AVE, CLIFTON, NJ 07011-2146
(973) 298-1400
Mailing address
1430 MAIN AVE, CLIFTON, NJ 07011-2146
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
11/12/2019
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