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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 Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for OPTICIANS OF GLEN ROCK

NPI # 1063959856
LBN Legal business name OPTICIANS OF GLEN ROCK
Authorized official IRVING SAMORA - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2017
Last updated 01/31/2017 - About 9 years ago
Identifiers
NJ License # 31TD00355800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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