Junior Eagle Corporation

NPI #1780863035 in Fort Lee, New Jersey

Provider Information

NPI Number: 1780863035
Entity Type: Organization
Organization Name: Junior Eagle Corporation
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 2, 2007
Last Updated: Dec 18, 2007

Practice Location

Address: 104 LINWOOD PLZ
City: Fort Lee
State: New Jersey
ZIP Code: 07024-3701
Phone: (201) 461-0010

Authorized Official

Name: DR. PAUL SHAHINIAN, O.D.
Title: OWNER
Phone: (201) 461-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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