Organization
MAIN ST. OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIR MASADEH (OWNER)
(862) 239-9550
Entity
Organization
Contact information
Practice address
1010 MAIN ST, PATERSON, NJ 07503-2212
(862) 239-9550
Mailing address
1010 MAIN ST, PATERSON, NJ 07503-2212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00615400
NJ
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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