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Contact Information

JG OPTICAL INC.
108 BROUGHTON AVE
BLOOMFIELD, NJ07003
 Phone: 973-743-1353
 Fax: 973-743-6577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for JG OPTICAL INC · (Female)

NPI # 1083780175
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2006
Last updated 06/25/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # TD3340
  • NJ Medicaid 300090701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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