Healthcare Provider Details

I. General information

NPI: 1700257953
Provider Name (Legal Business Name): LENS & FRAMES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 GEORGES RD SUITE 2
DAYTON NJ
08810-2436
US

IV. Provider business mailing address

495 GEORGES RD SUITE 2
DAYTON NJ
08810-2436
US

V. Phone/Fax

Practice location:
  • Phone: 732-438-0432
  • Fax: 732-438-0472
Mailing address:
  • Phone: 732-438-0432
  • Fax: 732-438-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number31TD003820000
License Number StateNJ

VIII. Authorized Official

Name: PRADIP SHAH
Title or Position: OPTICIAN
Credential:
Phone: 732-438-0432