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NPI Code Detail

MEDICARE: VERONA OPTICIANS

MEDICARE: VERONA 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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1891098083
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERONA OPTICIANS
Provider Business Mailing Address
First Line : 573 BLOOMFIELD AVE
Second Line :
City : VERONA
State : NJ
Zip : 07044-1818
Country : US
Telephone Number : 973-857-0011
Fax Number :
Provider Business Practice Location Address
First Line : 573 BLOOMFIELD AVE
Second Line :
City : VERONA
State : NJ
Zip : 07044-1818
Country : US
Telephone Number : 973-857-0011
Fax Number :
Authorized Official
Title or Position : OWNER/OPTICIAN
Name : MRS. MARLENE MARINO
Credential : D.O.
Telephone Number : 973-857-0011
Provider Enumeration Date : 12/10/2010
Last Update Date : 12/10/2010

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Directions to “VERONA OPTICIANS ” Practice Location

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