Organization Name: | QUALITY EYE OPTICAL LLC |
NPI Number: | 1154553410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MATTHEW SEPPY (OPTICIAN) |
Mailing Address: | 2020 New Rd Linwood |
State: | NJ US |
Postal Code: | 082211039 |
Phone Number: | 6096532080 |
Fax Number: | 6099267616 |
NPI Enumeration Date: | 08/19/2009 |
NPI Last Update Date: | 09/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | TD-1326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |