Digiovanni Optical Lab, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DIGIOVANNI OPTICAL LAB, LLC

Practice address

206 N Black Horse Pike
Runnemede, NJ 08078-1630

Phone

(856) 931-0063

Fax

(856) 939-0602

NPI assigned

Feb 14, 2007

Last updated

Mar 25, 2009By 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

Mr. Paul G Digiovanni

Title

Co-Owner

Phone

(856) 931-0063

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1073656948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781630",
            "telephone_number": "856-931-0063",
            "fax_number": "856-939-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781630",
            "telephone_number": "856-931-0063",
            "fax_number": "856-939-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGIOVANNI OPTICAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "DIGIOVANNI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "856-931-0063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Runnemede, NJ
• Providers in Runnemede, 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 Mar 25, 2009; 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.