EYEGLASS CITY CORP NPI 1104969088

NPI Information

NPI: 1104969088
Provider Name: EYEGLASS CITY CORP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
41 CLEMENTON RD
STORE 328
BERLIN, NJ
ZIP 08009
Phone: (856) 768-9583
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EYEGLASS CITY CORP is an eyewear supplier in Berlin, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYEGLASS CITY CORP NPI is 1104969088. The provider is registered as an organization entity type.

The provider's business location address is:

41 CLEMENTON RD
STORE 328
BERLIN, NJ
ZIP 08009-300
Phone: (856) 768-9583
Fax: (856) 939-0602

The provider's authorized official is Paul G Digiovanni .
The authorized official title is Owner and has the following contact phone number (856) 768-9583.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0069973	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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