Organization
TKO OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KNOLL (OWNER)
(973) 674-3808
Entity
Organization
Contact information
Practice address
582 CENTRAL AVE, EAST ORANGE, NJ 07018-1936
(973) 674-3808
(973) 674-3943
Mailing address
582 CENTRAL AVE, EAST ORANGE, NJ 07018-1936
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
31TD180700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6012809
—
NJ
Enumeration date
03/17/2008
Last updated
03/17/2008
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