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Organization

OPTICALVIEWLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. POLINA GRIZONT OPTITION (PRESIDENT)
(732) 297-2020
Entity
Organization

Contact information

Practice address
400 RANEISSANCE BLVD., NONE, NORTH BRUNSWICK, NJ 08902
(732) 297-2020
Mailing address
400 RANEISSANCE BLVD., NORTH BRUNSWICK, NJ 08902
(732) 297-2020

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3443
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17102
SPECTERA
NJ
01
43971
DAVIS VISION
NJ
05
7869002
NJ
01
NJ 3443
EYEMED
NJ
Enumeration date
05/21/2007
Last updated
08/22/2020
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