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NPI Code Detail

MEDICARE: GLASS OPTICAL, L. L. C.

MEDICARE: GLASS OPTICAL, L. L. C.
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
1152W00000XOptometrist27OA00562200NJ

General Provider Information

NPI Number : 1952607616
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLASS OPTICAL, L. L. C.
Provider Business Mailing Address
First Line : 72 PRINCETON HIGHTSTOWN RD STE 10
Second Line :
City : EAST WINDSOR
State : NJ
Zip : 08520-1935
Country : US
Telephone Number : 609-918-9808
Fax Number : 609-918-9828
Provider Business Practice Location Address
First Line : 72 PRINCETON HIGHTSTOWN RD STE 10
Second Line :
City : EAST WINDSOR
State : NJ
Zip : 08520-1935
Country : US
Telephone Number : 609-918-9808
Fax Number : 609-918-9828
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. STEVEN GLASSBAND
Credential : O. D.
Telephone Number : 609-918-9808
Provider Enumeration Date : 01/28/2011
Last Update Date : 01/28/2011

Similar Medicare Providers

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Practice Location Address:
72 PRINCETON HIGHTSTOWN RD
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Practice Fax: 609-918-9828
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Directions to “GLASS OPTICAL, L. L. C. ” Practice Location

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