Organization
OPTICAL WAVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD COBURN (SECRETARY)
(973) 209-2020
Entity
Organization
Contact information
Practice address
286 RT 23, FRANKLIN, NJ 07416
(973) 209-2020
(973) 209-8184
Mailing address
286 RT 23, FRANKLIN, NJ 07416
(973) 209-2020
(973) 209-8184
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6817106
—
NJ
Enumeration date
06/27/2007
Last updated
07/22/2009
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