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BRIDGE OPTICIANS LLC NPI 1841490570


NPI Information

NPI: 1841490570
Provider Name: BRIDGE OPTICIANS, LLC

Doing Business As: BRIDGE OPTICIANS

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 31D2180085

Address:
301 BRIDGE PLZ N
FORT LEE, NJ
ZIP 07024
Phone: (201) 944-6440
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BRIDGE OPTICIANS, LLC is an eyewear supplier in Fort Lee, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BRIDGE OPTICIANS, LLC NPI is 1841490570. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bridge Opticians.

The provider's business location address is:

301 BRIDGE PLZ N
FORT LEE, NJ
ZIP 07024-059
Phone: (201) 944-6440
Fax: (201) 944-6441

The provider's authorized official is Harrison Leigh Rosenberg .
The authorized official title is Partner and has the following contact phone number (201) 944-6440.

The CLIA number assigned to this NPI record is 31D2180085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 9/25/2012.


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
1152W00000XOptometrist27OA00632700NEW JERSEYNo
2332H00000XEyewear SupplierYes

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
1227474MEDICARE UPINNEW JERSEY
25951600001MEDICARE NSCNEW 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

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