Organization
SPHERO OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH ROGERS (PRESIDENT)
(201) 384-3766
Entity
Organization
Contact information
Practice address
179 E MAIN ST, BERGENFIELD, NJ 07621-2236
(201) 384-3766
Mailing address
179 E MAIN ST, BERGENFIELD, NJ 07621-2236
(201) 384-3766
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D-854
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3474101
—
NJ
Enumeration date
01/03/2007
Last updated
08/22/2020
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