Organization
THE OPTICAL ILLUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL REDDEN (OWNER)
(201) 666-8705
Entity
Organization
Contact information
Practice address
190 WESTWOOD AVE, WESTWOOD, NJ 07675-1741
(201) 666-8705
Mailing address
190 WESTWOOD AVE, WESTWOOD, NJ 07675-1741
(201) 666-8705
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D3239
NJ
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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