Provider Demographics
NPI:1508016551
Name:OPTICIANS OF WESTWOOD
Entity Type:Organization
Organization Name:OPTICIANS OF WESTWOOD
Other - Org Name:INVISION OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:OPIZO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:201-728-9399
Mailing Address - Street 1:191 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-1714
Mailing Address - Country:US
Mailing Address - Phone:201-666-6646
Mailing Address - Fax:201-666-6688
Practice Address - Street 1:191 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-1714
Practice Address - Country:US
Practice Address - Phone:201-666-6646
Practice Address - Fax:201-666-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00329202332H00000X
NJ31TD00325302332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier