Active NPI
Optical Palace LLC
- Ophthalmic Technician/Technologist
- Jersey City, NJ
National Provider Identifier
1982751897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- TD3405
- Legal business name
- OPTICAL PALACE LLC
- Practice address
- 910 Bergen Ave
Jersey City, NJ 07306-4314 - Phone
- (201) 610-0980
- Fax
- (201) 610-0982
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 13, 2026
- 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. Parag Champaklal Raithatha, OPTICIAN
- Title
- Partner
- Phone
- (201) 610-0980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | TD3405 | NJ | Primary |
Addresses
Primary practice location
910 Bergen Ave
Jersey City, NJ 07306-4314
Mailing address
910 Bergen Ave
Jersey City, NJ 07306-4314
Phone (201) 610-0980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8148805 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
910 Bergen Ave
Jersey City, NJ 07306
Phone (201) 610-0980
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Moorestown, NJ
- NPI 1457099251
-
- Optometrist
- Jersey City, NJ
- NPI 1487850368
-
- Optometrist
- Milltown, NJ
- NPI 1871540732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1982751897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 BERGEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064314",
"telephone_number": "201-610-0980",
"fax_number": "201-610-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BERGEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064314",
"telephone_number": "201-610-0980",
"fax_number": "201-610-0982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL PALACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "RAITHATHA",
"authorized_official_first_name": "PARAG",
"authorized_official_middle_name": "CHAMPAKLAL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "201-610-0980",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic",
"state": "NJ",
"license": "TD3405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8148805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
- Edison Onuoha, RN
- Francis Onwochei
- Openloop Healthcare Partners New Jersey PC
- Optic Matters LLC
- Optical Palace II, LLC (Optical Palace)
- Optical Palace2 LLC
- Optima Care Jersey City, LLC (Optima Care Harborview)
- Optimized Wellness
- Optum Medical Care of New Jersey PC (Riverside Medical Group)
- Orange Care DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.