Optical Palace of Paterson

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL PALACE OF PATERSON

Practice address

93 Main St
Paterson, NJ 07505-1026

Phone

(973) 881-1030

Fax

(973) 881-1031

NPI assigned

Nov 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaishri B Raithatha

Title

Owner

Phone

(972) 881-1030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023184678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051026",
            "telephone_number": "973-881-1030",
            "fax_number": "973-881-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051026",
            "telephone_number": "973-881-1030",
            "fax_number": "973-881-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL PALACE OF PATERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITHATHA",
        "authorized_official_first_name": "JAISHRI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-881-1030"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105058",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Christiana Onyeagocha
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• Opti-Design LLC
• Optical Outlet LLC
• Optimal Lab Inc
• Optimum Care Medical Transport
• Options Counseling Inc. (Options Counseling Center)
• Options Counseling, Inc (Options Counseling Center)
• Options Counseling, Inc (Options Counseling Center)

• Eyewear Supplier in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.