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General NPI Number Information
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NPI Number | 1902763295
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Entity Type | Organization
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Legal Business Name | JM OPTICIANS
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 300 FAIRVIEW AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-1749
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Country | US
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Telephone | 201-666-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 300 FAIRVIEW AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-1749
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Country | US
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Telephone | 201-666-2150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN MIKROS
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Credential | OPTICIAN
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Telephone | 201-666-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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