MEDICARE: CJ OPTICS INC

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	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184737967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CJ OPTICS INC

Provider Business Mailing Address
First Line	:	2167 86 STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3205
Country	:	US
Telephone Number	:	718-946-3647
Fax Number	:	718-946-3563

Provider Business Practice Location Address
First Line	:	2167 86 STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3205
Country	:	US
Telephone Number	:	718-946-3647
Fax Number	:	718-946-3563

Authorized Official
Title or Position	:	MANAGER PREV
Name	:	CHRIS AMORELLO
Credential	:
Telephone Number	:	718-946-3647

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	08/22/2020

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Directions to “CJ OPTICS INC ” Practice Location

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