1346887296 NPI number — OPTICAL WORLD NJ CORP

Table of content: (NPI 1346887296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346887296 NPI number — OPTICAL WORLD NJ CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPTICAL WORLD NJ CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346887296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 S BARCLAY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARGATE CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08402-2813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-848-6400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
OPTICAL WORLD
Provider Second Line Business Practice Location Address:
160 N. GULPH RD KING OF PRUSSIA PLAZA SUITE #2377
Provider Business Practice Location Address City Name:
KING OF PRUSSIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-265-1919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZIMMERMAN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OPTOMETRIST
Authorized Official Telephone Number:
856-848-6400

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)