Organization
HUDSON EYE PHYSICIANS AND SURGEONS, LLC
Active
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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