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NPI Code Detail

MEDICARE: JERSEY CITY OPTOMETRY PC

MEDICARE: JERSEY CITY OPTOMETRY PC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1245828268
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERSEY CITY OPTOMETRY PC
Provider Business Mailing Address
First Line : 2877 KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3901
Country : US
Telephone Number : 201-795-3434
Fax Number : 201-795-9857
Provider Business Practice Location Address
First Line : 2877 KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3901
Country : US
Telephone Number : 201-795-3434
Fax Number : 201-795-9857
Authorized Official
Title or Position : OWNER
Name : DR. ELENA FELDMAN
Credential : OD
Telephone Number : 646-734-6367
Provider Enumeration Date : 01/05/2021
Last Update Date : 01/05/2021

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Directions to “JERSEY CITY OPTOMETRY PC ” Practice Location

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