MEDICARE: CJ OPTICAL HOLDINGS 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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1578965877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CJ OPTICAL HOLDINGS LLC

Provider Business Mailing Address
First Line	:	5226 DARTMOUTH DR
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-9578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 PALMER PARK MALL
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-2759
Country	:	US
Telephone Number	:	610-258-4372
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. PHI T NGUYEN
Credential	:
Telephone Number	:	610-264-8537

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	09/18/2014

Similar Medicare Providers

1336082858 — DANIEL & MAX, LLC
Practice Location Address:

121 PALMER PARK MALL
EASTON, PA
18045-2759

Practice Phone: 610-252-8628
Practice Fax: 610-252-8628

1518003789 — DR. GARY JON KOKOSKY O.D.
Practice Location Address:

147 PALMER PARK MALL
EASTON, PA
18045-2759

Practice Phone: 610-258-4372
Practice Fax: 610-258-5878

1316141864 — MARSHALLS CREEK VISION CENTER
Practice Location Address:

145 PALMER PARK MALL , PEARLE VISION
EASTON, PA
18045-2759

Practice Phone: 610-258-4372
Practice Fax: 610-258-5878

1619420486 — DAVID S ALTENDERFER OD LLC
Practice Location Address:

147 PALMER PARK MALL
EASTON, PA
18045-2759

Practice Phone: 610-258-4372
Practice Fax:

1013449230 — DAVID S ALTENDERFER OD LLC
Practice Location Address:

147 PALMER PARK MALL
EASTON, PA
18045-2759

Practice Phone: 610-258-4372
Practice Fax: 610-258-5878

1255991881 — KATHERINE ASHLEY AROOM LCPC
Practice Location Address:

111 N WEST ST
EASTON, MD
21601-2759

Practice Phone: 301-789-7027
Practice Fax:

Directions to “CJ OPTICAL HOLDINGS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.