Organization
OPTICAL PALACE2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUL C RAITHATHA (OWNER)
(201) 420-1222
Entity
Organization
Contact information
Practice address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-1222
(201) 420-1369
Mailing address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-1222
(201) 420-1369
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071811
—
NJ
Enumeration date
11/22/2006
Last updated
06/04/2008
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