Organization
FREEHOLD FAMILY EYEWEAR, INC.
Active
Other names
J.J. Poole Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH HANSEN LICENSED OPTICIAN (PRESIDENT)
(732) 247-1970
Entity
Organization
Contact information
Practice address
232 RYDERS LN, MILLTOWN, NJ 08850-1353
(732) 247-1970
Mailing address
232 RYDERS LN, MILLTOWN, NJ 08850-1353
(732) 247-1970
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K9659
HEALTHNET
NJ
Enumeration date
06/29/2007
Last updated
03/12/2008
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