Organization
PJ OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ROXBY (MANAGER)
(631) 612-2706
Entity
Organization
Contact information
Practice address
1010 ROUTE 112, SUITE 300, PORT JEFFERSON STATION, NY 11776-3387
(631) 476-3500
Mailing address
1010 ROUTE 112, SUITE 300, PORT JEFFERSON STATION, NY 11776-3387
(631) 476-3500
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NY
Other
Enumeration date
08/28/2008
Last updated
01/20/2009
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