Organization
CJ OPTICAL HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHI NGUYEN (MEMBER)
(610) 264-8537
Entity
Organization
Contact information
Practice address
201 LEHIGH VALLEY MALL, WHITEHALL, PA 18052-5719
(610) 264-8537
(610) 264-8417
Mailing address
201 LEHIGH VALLEY MALL, WHITEHALL, PA 18052-5719
(610) 264-8537
(610) 264-8417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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