National Provider Identifier Database

OPTICIANS OF GLEN ROCK
Optician


Contact Information

OPTICIANS OF GLEN ROCK
240 ROCK RD
SUITE 1B
GLEN ROCK, NJ07452-1738
Phone: 201-857-2620
Fax: 201-857-2619
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for OPTICIANS OF GLEN ROCK

NPI Number 1063959856
Legal business name
LBN
OPTICIANS OF GLEN ROCK
Authorized official IRVING SAMORA - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/31/2017
Last updated 01/31/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 31TD00355800

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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