Provider Demographics
NPI:1669524583
Name:C & J OPTICAL INC.
Entity type:Organization
Organization Name:C & J OPTICAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:VIRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-732-7622
Mailing Address - Street 1:1704 WALNUT ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6148
Mailing Address - Country:US
Mailing Address - Phone:215-732-7622
Mailing Address - Fax:215-732-7626
Practice Address - Street 1:1704 WALNUT ST
Practice Address - Street 2:STE 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6148
Practice Address - Country:US
Practice Address - Phone:215-732-7622
Practice Address - Fax:215-732-7626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies