Optical Connection Incorporated

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL CONNECTION INCORPORATED

Practice address

615 Lacey Rd
Forked River, NJ 08731-2200

Phone

(609) 693-8555

Fax

(609) 693-4518

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Mary Gailis

Title

Office Administrator

Phone

(732) 244-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1306137674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312200",
            "telephone_number": "609-693-8555",
            "fax_number": "609-693-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312200",
            "telephone_number": "609-693-8555",
            "fax_number": "609-693-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CONNECTION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "GAILIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-244-4400"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.