Optical Palace II, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00566300 Issued in NJ

Legal business name

OPTICAL PALACE II, LLC

Doing business as

Optical Palace

Practice address

461 Central Ave
Jersey City, NJ 07307-2740

Phone

(201) 420-1222

Fax

(201) 420-1369

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sonali Raitmatha

Title

Owner

Phone

(201) 420-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optical Palace Doing business as

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265658611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072740",
            "telephone_number": "201-420-1222",
            "fax_number": "201-420-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072740",
            "telephone_number": "201-420-1222",
            "fax_number": "201-420-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL PALACE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITMATHA",
        "authorized_official_first_name": "SONALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-420-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00566300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071811",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Palace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Ong
• Edison Onuoha, RN
• Francis Onwochei
• Openloop Healthcare Partners New Jersey PC
• Optic Matters LLC
• Optical Palace LLC
• Optical Palace2 LLC
• Optima Care Jersey City, LLC (Optima Care Harborview)
• Optimized Wellness
• Optum Medical Care of New Jersey PC (Riverside Medical Group)

• Optometrist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Optometrist 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.