Optical World of Elizabeth LLC

NPI #1366455032 in Elizabeth, New Jersey

Provider Information

NPI Number: 1366455032
Entity Type: Organization
Organization Name: Optical World of Elizabeth LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 14, 2006
Last Updated: Dec 2, 2008

Practice Location

Address: 206 BROAD ST
City: Elizabeth
State: New Jersey
ZIP Code: 07201-2304
Phone: (908) 629-0011

Authorized Official

Name: MUKUL C RAITHATHA
Title: PRESIDENT
Phone: (908) 629-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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