| Doctor Name: | ROBERT FRANK CERAGNO |
| NPI Number: | 1073718177 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | NJ 1720 |
| Business Practice Address: | 7733 Bergenline Ave North Bergen, NJ - 070474966 |
| Business Phone Number: | 2018680768 |
| Business Fax Number: | 2018682960 |
| Mailing Address: | 7733 Bergenline Ave, NORTH BERGEN |
| State: | NJ |
| Postal Code: | 070474966 |
| Phone Number: | 2018680768 |
| Fax Number: | 2018682960 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | NJ 1720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |