Provider Demographics
NPI:1235558123
Name:A & J OPTICAL INC
Entity Type:Organization
Organization Name:A & J OPTICAL INC
Other - Org Name:JAMES KENNEDY OPTICIAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN/PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-338-7645
Mailing Address - Street 1:8002 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-2616
Mailing Address - Country:US
Mailing Address - Phone:215-338-7645
Mailing Address - Fax:215-613-5047
Practice Address - Street 1:8002 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19136-2616
Practice Address - Country:US
Practice Address - Phone:215-338-7645
Practice Address - Fax:215-613-5047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty