Provider Demographics
NPI: | 1538118195 |
---|---|
Name: | SPECS FOR LESS INC |
Entity Type: | Organization |
Organization Name: | SPECS FOR LESS INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JEFFREY |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | KIRSCH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-671-1990 |
Mailing Address - Street 1: | 1 STATE ROUTE 35 |
Mailing Address - Street 2: | |
Mailing Address - City: | KEYPORT |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07735-1128 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-264-2500 |
Mailing Address - Fax: | 732-264-2929 |
Practice Address - Street 1: | 1 STATE ROUTE 35 |
Practice Address - Street 2: | |
Practice Address - City: | KEYPORT |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07735-1128 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-264-2500 |
Practice Address - Fax: | 732-264-2929 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-09 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | TD3012 | 156FX1800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | Group - Single Specialty |