Crystal Lens Optical of Passaic LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CRYSTAL LENS OPTICAL OF PASSAIC LLC

Practice address

670 Main Ave
Passaic, NJ 07055-5115

Phone

(973) 773-2020

Fax

(972) 773-2011

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Sayed Kharry

Title

Owner

Phone

(973) 773-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1861751448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555115",
            "telephone_number": "973-773-2020",
            "fax_number": "972-773-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555115",
            "telephone_number": "973-773-2020",
            "fax_number": "972-773-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LENS OPTICAL OF PASSAIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "KHARRY",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-773-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Marion D'Amato, APN
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• Rachel Goldman Dale, PSYD
• Vince F Dalessio, DMD
• Stanley Daniel, PT, DPT

• Eyewear Supplier in Passaic, NJ
• Providers in Passaic, 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 May 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.