Provider Demographics
NPI:1770038416
Name:J&E OPTICAL CENTER, LLC
Entity Type:Organization
Organization Name:J&E OPTICAL CENTER, LLC
Other - Org Name:SHOP EYEGLASSES TODAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN-ENGLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-429-2020
Mailing Address - Street 1:9505 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-8024
Mailing Address - Country:US
Mailing Address - Phone:718-429-2020
Mailing Address - Fax:718-429-2300
Practice Address - Street 1:9505 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-8024
Practice Address - Country:US
Practice Address - Phone:718-429-2020
Practice Address - Fax:718-429-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006563152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty