JG OPTICAL INC.; NPI #1083780175

Contact Information

JG OPTICAL INC.

108 BROUGHTON AVE
BLOOMFIELD, NJ 07003

Phone: 973-743-1353
Fax: 973-743-6577
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for JG OPTICAL INC.

NPI Number 1083780175

LBN Legal business name JG OPTICAL INC.

Authorized official JOSHUA GOULD - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 06/25/2024 - More than a year ago

Identifiers

NJ	License #	TD3340
NJ	Medicaid	300090701

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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JG OPTICAL INC.

Contact Information

Specialty

Optician

NPI Profile & details for JG OPTICAL INC.

Reviews for JG OPTICAL INC.