Organization
OPTICAL CENTER OAKRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BENSON (C.E.O.)
(973) 383-3650
Entity
Organization
Contact information
Practice address
5746 BERKSHIRE VALLEY RD, OAK RIDGE, NJ 07438-9847
(973) 697-4550
(973) 697-4548
Mailing address
5746 BERKSHIRE VALLEY RD, OAK RIDGE, NJ 07438-9847
(973) 697-4550
(973) 697-4548
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1663
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117249
EYEMED
NJ
01
—
313225
N.V.A.
NJ
01
—
881
VISION SCREENING
NJ
Enumeration date
01/17/2007
Last updated
09/23/2009
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