| Organization Name: | PROGRESSIVE OPTICS INC. |
| NPI Number: | 1356349757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J. REILLY (OPTICIAN/ OWNER) |
| Mailing Address: | 385 Belmont Ave Haledon |
| State: | NJ US |
| Postal Code: | 075081351 |
| Phone Number: | 9739421378 |
| Fax Number: | 9739428303 |
| NPI Enumeration Date: | 07/09/2005 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 31TD00110000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |