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NPI Code Detail

MEDICARE: OPTIC MATTERS LLC

MEDICARE: OPTIC MATTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1306778071
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIC MATTERS LLC
Provider Business Mailing Address
First Line : 35 JOURNAL SQ STE 423
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4007
Country : US
Telephone Number : 201-640-4367
Fax Number :
Provider Business Practice Location Address
First Line : 35 JOURNAL SQ STE 423
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4007
Country : US
Telephone Number : 201-640-4367
Fax Number :
Authorized Official
Title or Position : LICENSED OPTICIAN
Name : PATRICIA SERRANO
Credential : LDO
Telephone Number : 201-640-4367
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “OPTIC MATTERS LLC ” Practice Location

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