Organization
COMMUNITY OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD FRANCIS O'NEILL OPTICIAN (VICE PRESIDENT)
(908) 354-4939
Entity
Organization
Contact information
Practice address
1156 E JERSEY ST, ELIZABETH, NJ 07201-2311
(908) 354-4939
Mailing address
1156 E JERSEY ST, ELIZABETH, NJ 07201-2311
(908) 354-4939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D669
NJ
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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