| Organization Name: | NORTHERN VALLEY OPTICIANS,INC |
| NPI Number: | 1306996558 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD HOGG (OWNER) |
| Mailing Address: | 113 Vervalen St Closter |
| State: | NJ US |
| Postal Code: | 076242612 |
| Phone Number: | 2017677988 |
| Fax Number: | 2017671337 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 08/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | TD872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |