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Contact Information

OPTICAL PALACE OF HARRISON LLC
1091 B SPRINGFIELD AVENUE
IRVINGTON, NJ07111
 Phone: 973-416-6664
 Fax: 973-416-6649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for OPTICAL PALACE OF HARRISON LLC

NPI # 1700957503
LBN Legal business name OPTICAL PALACE OF HARRISON LLC
Authorized official PARAG RAITHATHA - (V.PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # TD3405
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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