Organization
NAZCO OPTICAL, LLC
Active
Other names
Gleek and Howard Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO NAZCO (OWNER)
(908) 353-7374
Entity
Organization
Contact information
Practice address
421 MORRIS AVE, ELIZABETH, NJ 07208-3612
(908) 353-7374
Mailing address
421 MORRIS AVE, ELIZABETH, NJ 07208-3612
(908) 353-7374
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TD-2107
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015113
—
NJ
Enumeration date
12/24/2007
Last updated
12/24/2007
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