Organization
SUPER VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY MUKUL RAITHATHA (OWNER)
(201) 724-2227
Entity
Organization
Contact information
Practice address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-0101
(201) 420-1123
Mailing address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-0101
(201) 420-1123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00615400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2Y1165
—
NJ
Enumeration date
12/08/2010
Last updated
05/14/2025
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