Provider Demographics
NPI:1417092545
Name:S & A OPTICAL, INC.
Entity Type:Organization
Organization Name:S & A OPTICAL, INC.
Other - Org Name:COHEN'S FASHION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEKSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHUKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-725-0008
Mailing Address - Street 1:400 COMMONS WAY
Mailing Address - Street 2:SUITE 354
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2800
Mailing Address - Country:US
Mailing Address - Phone:908-725-0008
Mailing Address - Fax:
Practice Address - Street 1:400 COMMONS WAY
Practice Address - Street 2:SUITE 354
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2800
Practice Address - Country:US
Practice Address - Phone:908-725-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty