Organization
L&M OPTICAL INC
Active
Other names
VALENZA OPTICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S DEGIACOMO OPTICIAN (OWNER OPTICIAN)
(973) 338-5620
Entity
Organization
Contact information
Practice address
1025 BROAD ST, VALENZA OPTICIANS, BLOOMFIELD, NJ 07003-2844
(973) 338-5620
(973) 338-6884
Mailing address
1025 BROAD ST, VALENZA OPTICIANS, BLOOMFIELD, NJ 07003-2844
(973) 338-5620
(973) 338-6884
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D1614
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16213109
—
NJ
Enumeration date
11/29/2006
Last updated
08/22/2020
Update your record
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