National Provider Identifier Database

THE OPTIC NERVE INC
Optician


Contact Information

THE OPTIC NERVE, INC.
163 ROUTE 73 S
MARLTON, NJ08053-4120
Phone: 856-985-1300
Fax: 856-985-1346
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens 156FC0800X

* Indicates primary specialty

NPI Profile & details for THE OPTIC NERVE, INC.

NPI Number 1871991570
Legal business name
LBN
THE OPTIC NERVE, INC.
Authorized official COLIN YODER - (OPTICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/11/2014
Last updated 12/11/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 31TD00342201

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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