MEDICARE: QUALITY EYE OPTICAL LLC

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
1	156FX1800X	Optician	TD-1326	NJ

General Provider Information

NPI Number	:	1154553410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY EYE OPTICAL LLC

Provider Business Mailing Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-653-2080
Fax Number	:	609-926-7616

Provider Business Practice Location Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-653-2080
Fax Number	:	609-926-7616

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MR. CHARLES MATTHEW SEPPY
Credential	:
Telephone Number	:	609-653-2080

Provider Enumeration Date	:	08/19/2009
Last Update Date	:	09/28/2009

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Directions to “QUALITY EYE OPTICAL LLC ” Practice Location

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