MEDICARE: TEST RITE OPTICIANS

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	:	1679618128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEST RITE OPTICIANS

Provider Business Mailing Address
First Line	:	1134 LIBERTY AVE
Second Line	:
City	:	HILLSIDE
State	:	NJ
Zip	:	07205-2103
Country	:	US
Telephone Number	:	908-354-8300
Fax Number	:	908-965-1404

Provider Business Practice Location Address
First Line	:	1134 LIBERTY AVE
Second Line	:
City	:	HILLSIDE
State	:	NJ
Zip	:	07205-2103
Country	:	US
Telephone Number	:	908-354-8300
Fax Number	:	908-965-1404

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MR. JOSEPH CASORIO
Credential	:
Telephone Number	:	908-354-8300

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/10/2007

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Directions to “TEST RITE OPTICIANS ” Practice Location

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