Organization
OPTICAL ADVANTAGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE WHITEHEAD (CREDENTIALING)
(718) 253-8111
Entity
Organization
Contact information
Practice address
6 BRIARCLIFFE RD, BERGENFIELD, NJ 07621-4021
(917) 548-5083
(718) 253-2333
Mailing address
6 BRIARCLIFFE RD, BERGENFIELD, NJ 07621-4021
(917) 548-5083
(718) 253-2333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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