Organization
EZ.MD.OPTICAL LLC
Active
Parent organization
EZ MD OPTICAL
Other names
ez md optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
EZ MD OPTICAL
Authorized official
MR. ROGER R ROMERO SR. 31TD00351400 (LIC OPHTHALMIC DISPENSER OPTICIAN)
(201) 628-1465
Entity
Organization
Contact information
Practice address
3196 KENNEDY BLVD STE 2, UNION CITY, NJ 07087-2468
(201) 628-1465
Mailing address
3196 KENNEDY BLVD STE 2, UNION CITY, NJ 07087-2468
(201) 628-1465
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
31TD00351400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304026
—
NJ
Enumeration date
07/19/2016
Last updated
07/19/2016
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