Optical Palace2 Llc

LBN: Optical Palace2 Llc
Optical Palace2 Llc is an health care organization with primary practice located at 461 Central Ave , Jersey City NJ 07307-2740. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Optical Palace2 Llc can be contacted via phone (201) 420-1222, or through Raithatha, Mukul C via phone (201) 420-1222.

Contact Information

Primary practice address
461 Central Ave Jersey City NJ 07307-2740
Phone: (201) 420-1222
Fax: (201) 420-1369
Website:
Map and Directions
Authorized official contact:
Name: Raithatha, Mukul C
Phone: (201) 420-1222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1912072273
LBN Legal business name Optical Palace2 Llc
DBA Doing business as
Authorized official Raithatha, Mukul C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jun 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912072273 NPPES
New Jersey MEDICAID 0071811

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