National Provider Identifier Database

JG OPTICAL INC
Optician


Contact Information

JG OPTICAL INC.
108 BROUGHTON AVE
BLOOMFIELD, NJ07003
Phone: 973-743-1353
Fax: 973-743-6577
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for JG OPTICAL INC.

NPI Number 1083780175
Legal business name
LBN
JG OPTICAL INC.
Authorized official JOSHUA GOULD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 06/25/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: TD3340
  • NJ Medicaid: 300090701

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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