Individual
MR. HECTOR RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTHALMIC DISPENSERS
Contact information
Practice address
5202 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 974-2600
(201) 974-2999
Mailing address
354 3RD ST, LYNDHURST, NJ 07071-2520
(201) 340-4343
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00331700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144289
EYEMED
NJ
01
—
19034
SPECTERA
NJ
01
—
313241
NVA
NJ
01
—
3782
DAVIS VISION
NJ
05
—
6734804
—
NJ
Enumeration date
06/14/2007
Last updated
04/30/2012
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