Provider Demographics
NPI:1639355068
Name:ALAN TRAINO
Entity Type:Organization
Organization Name:ALAN TRAINO
Other - Org Name:SEYMOUR POLLACK OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:973-427-2020
Mailing Address - Street 1:769 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-2834
Mailing Address - Country:US
Mailing Address - Phone:973-427-2020
Mailing Address - Fax:973-427-8866
Practice Address - Street 1:769 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2834
Practice Address - Country:US
Practice Address - Phone:973-427-2020
Practice Address - Fax:973-427-8866
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALAN TRAINO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD1537332B00000X
NJD-1537332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0810490001Medicare NSC