MEDICARE: ALAN TRAINO

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	D-1537	NJ
2	332B00000X	Durable Medical Equipment & Medical Supplies	D1537	NJ

General Provider Information

NPI Number	:	1639355068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN TRAINO

Provider Business Mailing Address
First Line	:	769 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2834
Country	:	US
Telephone Number	:	973-427-2020
Fax Number	:	973-427-8866

Provider Business Practice Location Address
First Line	:	769 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2834
Country	:	US
Telephone Number	:	973-427-2020
Fax Number	:	973-427-8866

Authorized Official
Title or Position	:	OWNER/ OPTICIAN
Name	:	MR. ALAN TRAINO
Credential	:	OPTICIAN
Telephone Number	:	973-427-2020

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	01/16/2008

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Directions to “ALAN TRAINO ” Practice Location

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