| Organization Name: | INNOVATION OPTICS |
| NPI Number: | 1003997909 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN MITCHELL GREENBERG (OWNER) |
| Mailing Address: | 127 Chestnut St Roselle Park |
| State: | NJ US |
| Postal Code: | 072042275 |
| Phone Number: | 9082450900 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 01/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |