Healthcare Provider Details

I. General information

NPI: 1306778071
Provider Name (Legal Business Name): OPTIC MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JOURNAL SQ STE 423
JERSEY CITY NJ
07306-4007
US

IV. Provider business mailing address

35 JOURNAL SQ STE 423
JERSEY CITY NJ
07306-4007
US

V. Phone/Fax

Practice location:
  • Phone: 201-640-4367
  • Fax:
Mailing address:
  • Phone: 201-640-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA SERRANO
Title or Position: LICENSED OPTICIAN
Credential: LDO
Phone: 201-640-4367