Organization
HUDSON EYE PHYSICIANS AND SURGEONS, LLC
Active
Other names
Pavonia Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H. CONSTAD MD (MEMBER)
(201) 963-5846
Entity
Organization
Contact information
Practice address
600 PAVONIA AVE STE 6, JERSEY CITY, NJ 07306-2932
(201) 963-3937
(201) 963-8823
Mailing address
600 PAVONIA AVE STE 6, JERSEY CITY, NJ 07306-2932
(201) 963-3937
(201) 963-8823
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5463410001
NJ
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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