Organization
THE OPTICAL SHOPPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHARON (PRESIDENT)
(856) 939-5515
Entity
Organization
Contact information
Practice address
700 E CLEMENTS BRIDGE RD, RUNNEMEDE, NJ 08078-1455
(856) 393-5515
(856) 939-5541
Mailing address
700 E CLEMENTS BRIDGE RD, RUNNEMEDE, NJ 08078-1455
(856) 393-5515
(856) 939-5541
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D-988
NJ
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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