Organization
PICILLO BROS OPTICIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J PICILLO (PRESIDENT DISPENSING OPTICIAN)
(201) 997-0997
Entity
Organization
Contact information
Practice address
32 RIDGE RD, NORTH ARLINGTON, NJ 07031-6355
(201) 997-0997
Mailing address
32 RIDGE RD, NORTH ARLINGTON, NJ 07031-6355
(201) 997-0997
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D1096
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
652880501
—
NJ
Enumeration date
02/22/2007
Last updated
04/26/2010
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