Provider Demographics
NPI:1346887296
Name:OPTICAL WORLD NJ CORP
Entity Type:Organization
Organization Name:OPTICAL WORLD NJ CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-848-6400
Mailing Address - Street 1:111 S BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2813
Mailing Address - Country:US
Mailing Address - Phone:856-848-6400
Mailing Address - Fax:
Practice Address - Street 1:OPTICAL WORLD
Practice Address - Street 2:160 N. GULPH RD KING OF PRUSSIA PLAZA SUITE #2377
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406
Practice Address - Country:US
Practice Address - Phone:610-265-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty