Provider Demographics
NPI:1053464768
Name:C & J OPTICAL INC
Entity Type:Organization
Organization Name:C & J OPTICAL INC
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FECCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-627-1626
Mailing Address - Street 1:901 MARKET ST
Mailing Address - Street 2:THE GALLERY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3111
Mailing Address - Country:US
Mailing Address - Phone:215-627-1626
Mailing Address - Fax:215-627-4555
Practice Address - Street 1:901 MARKET ST
Practice Address - Street 2:THE GALLERY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-3111
Practice Address - Country:US
Practice Address - Phone:215-627-1626
Practice Address - Fax:215-627-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies