Organization
JADA LLC
Active
Other names
Levato and Gaudiomonte Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON M AXELBAND LICENSED OPTICIAN (OWNER / OPTICIAN)
(201) 445-3189
Entity
Organization
Contact information
Practice address
21 OAK ST, RIDGEWOOD, NJ 07450
(201) 445-3189
(201) 445-7111
Mailing address
21 OAK ST, LEVATO & GAUDIOMONTE OPTICIANS, RIDGEWOOD, NJ 07450-3805
(201) 445-3189
(201) 445-7111
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
D-1282
NJ
332H00000X
Eyewear Supplier
Primary
D-1282
NJ
Other
Enumeration date
09/10/2007
Last updated
08/27/2009
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