Provider Demographics
NPI:1326547050
Name:ROWDEN OPTICIANS OF SOMERVILLE LLC
Entity Type:Organization
Organization Name:ROWDEN OPTICIANS OF SOMERVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ROWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-4920
Mailing Address - Street 1:82 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2216
Mailing Address - Country:US
Mailing Address - Phone:908-526-4920
Mailing Address - Fax:908-526-2556
Practice Address - Street 1:82 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2216
Practice Address - Country:US
Practice Address - Phone:908-526-4920
Practice Address - Fax:908-526-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00106000156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty