Organization Active NPI

Junior Eagle Corporation

Doing business as Linwood Optical

  • Eyewear Supplier
  • Fort Lee, NJ
National Provider Identifier
1780863035
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
27OA00416500 Issued in NJ
Legal business name
JUNIOR EAGLE CORPORATION
Doing business as
Linwood Optical
Practice address
104 Linwood PLZ
Fort Lee, NJ 07024-3701
Phone
(201) 461-0010
Fax
(201) 461-4111
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Paul Shahinian, O.D.NPI 1245296755
Title
Owner
Phone
(201) 461-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 27OA00416500 NJ Primary

Addresses

Primary practice location

104 Linwood PLZ
Fort Lee, NJ 07024-3701

Mailing address

104 Linwood PLZ
Fort Lee, NJ 07024-3701
Phone (201) 461-0010

Other names 1

  • Linwood Optical Doing business as

National Provider Directory

National Provider Directory

Locations

104 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 461-0010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1780863035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LINWOOD PLZ",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "201-461-0010",
            "fax_number": "201-461-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LINWOOD PLZ",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243701",
            "telephone_number": "201-461-0010",
            "fax_number": "201-461-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIOR EAGLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SHAHINIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-461-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00416500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linwood Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.