Organization
USV OPTICAL, INC.
Active
Other names
Forward Vision, Wise Eyes Optical, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PASQUALE DERENZO (EXECUTIVE VICE PRESIDENT)
(856) 228-1000
Entity
Organization
Contact information
Practice address
10049 CLEARY BLVD, PLANTATION, FL 33324-1063
(954) 472-0066
Mailing address
1 HARMON DR, BLACKWOOD, NJ 08012-5103
(856) 228-1000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
08/07/2023
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