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Organization

OPTI-DESIGN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PARAG CHAMPAKLAL RAITHATHA (OPHTHALMIC DISPENSER)
(973) 357-8357
Entity
Organization

Contact information

Practice address
140 MAIN STREET, GROUND FLOOR, PATERSON, NJ 07505-1023
(973) 357-8357
(973) 357-8359
Mailing address
140 MAIN STREET, GROUND FLOOR, PATERSON, NJ 07505-1023
(973) 357-8357
(973) 357-8359

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD-3405
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0273937
NJ
Enumeration date
07/19/2011
Last updated
08/21/2012
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