Organization
CHURCH STREET OPTICIANS LLP
Active
Other names
Eye Candy Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPECIALE (PARTNER)
(973) 744-6128
Entity
Organization
Contact information
Practice address
52 S PARK ST, MONTCLAIR, NJ 07042-2716
(973) 744-6128
Mailing address
52 S PARK ST, MONTCLAIR, NJ 07042-2716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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