Active NPI
Opti-Tech, LLC.
- Eyewear Supplier
- Clifton, NJ
National Provider Identifier
1508023250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 25MA024404700
- Legal business name
- OPTI-TECH, LLC.
- Practice address
- 403 Clifton Ave
Clifton, NJ 07011-2642 - Phone
- (973) 473-8102
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Bernstein
- Title
- Office Manager
- Phone
- (973) 473-5151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 25MA024404700 | NJ | Primary |
Addresses
Primary practice location
403 Clifton Ave
Clifton, NJ 07011-2642
Mailing address
403 Clifton Ave
Clifton, NJ 07011-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02092184 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Opti-Tech LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- S Hackensack, NJ
- NPI 1427397272
-
- Optometrist
- New York, NY
- NPI 1215113204
Locations
403 Clifton Ave
Clifton, NJ 07011
Phone (973) 546-5700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1508023250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112642",
"telephone_number": "973-473-8102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTI-TECH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "973-473-5151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": "25MA024404700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02092184",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.