Provider Demographics
NPI:1629278676
Name:OPTICAL IMAGES OF LIVINGSTON, LLC
Entity Type:Organization
Organization Name:OPTICAL IMAGES OF LIVINGSTON, LLC
Other - Org Name:COHEN'S FASHION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAUM
Authorized Official - Middle Name:
Authorized Official - Last Name:BREKHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-994-1444
Mailing Address - Street 1:112 EISENHOWER PKWY
Mailing Address - Street 2:SUITE 129
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4995
Mailing Address - Country:US
Mailing Address - Phone:973-994-1444
Mailing Address - Fax:973-994-2333
Practice Address - Street 1:112 EISENHOWER PKWY
Practice Address - Street 2:SUITE 129
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4995
Practice Address - Country:US
Practice Address - Phone:973-994-1444
Practice Address - Fax:973-994-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier