Organization
OPTICAL PALACE OF HARRISON LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA RAITHATHA (OWNER)
(201) 724-3646
Entity
Organization
Contact information
Practice address
230 HARRISON AVE, HARRISON, NJ 07029-1329
(973) 482-0777
(973) 482-1330
Mailing address
230 HARRISON AVE, HARRISON, NJ 07029-1329
(973) 482-0777
(973) 482-1330
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071811
—
NJ
Enumeration date
04/14/2009
Last updated
04/14/2009
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