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NPI Code Detail

MEDICARE: USV OPTICAL, INC.

MEDICARE: USV OPTICAL, 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
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1922789262
Entity Type Code : Organization
Provider Name (Legal Business Name) : USV OPTICAL, INC.
Provider Business Mailing Address
First Line : 1 HARMON DR
Second Line :
City : BLACKWOOD
State : NJ
Zip : 08012-5103
Country : US
Telephone Number : 856-228-1000
Fax Number : 856-718-3639
Provider Business Practice Location Address
First Line : 8401 26 MILE RD
Second Line :
City : WASHINGTON
State : MI
Zip : 48094-2964
Country : US
Telephone Number : 586-677-6390
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MICHAEL PASQUALE DERENZO
Credential :
Telephone Number : 856-228-1000
Provider Enumeration Date : 07/28/2023
Last Update Date : 07/28/2023

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Directions to “USV OPTICAL, INC. ” Practice Location

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