Opticians of Glen Rock

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00355800 Issued in NJ

Legal business name

OPTICIANS OF GLEN ROCK

Doing business as

invision optics

Practice address

240 Rock Rd
Suite 1B
Glen Rock, NJ 07452-1738

Phone

(201) 857-2620

Fax

(201) 857-2619

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Irving Samora

Title

Co-Owner

Phone

(201) 857-2620

Specialties & licenses 1

Addresses

Other names 1

• invision optics Doing business as

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1063959856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ROCK RD",
            "address_2": "SUITE 1B",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521738",
            "telephone_number": "201-857-2620",
            "fax_number": "201-857-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ROCK RD",
            "address_2": "SUITE 1B",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521738",
            "telephone_number": "201-857-2620",
            "fax_number": "201-857-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICIANS OF GLEN ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SAMORA",
        "authorized_official_first_name": "IRVING",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-857-2620"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00355800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "invision optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.