Organization
CLASSIC EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN URETSKY M.D. (OWNER)
(609) 927-4424
Entity
Organization
Contact information
Practice address
2021 NEW RD, SUITE 6, LINWOOD, NJ 08221-1045
(609) 927-4424
(609) 927-3897
Mailing address
2021 NEW RD, SUITE 6, LINWOOD, NJ 08221-1045
(609) 927-4424
(609) 927-3897
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA42134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00175889
RAILROAD MEDICARE
—
Enumeration date
10/25/2006
Last updated
04/11/2008
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