Provider Demographics
NPI:1245418359
Name:JCJ LLC
Entity Type:Organization
Organization Name:JCJ LLC
Other - Org Name:DEUCHLER OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-377-3450
Mailing Address - Street 1:184 COLUMBIA TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932
Mailing Address - Country:US
Mailing Address - Phone:973-377-3450
Mailing Address - Fax:973-377-1150
Practice Address - Street 1:184 COLUMBIA TURNPIKE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-377-3450
Practice Address - Fax:973-377-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1304840001Medicare NSC