BAYONNE WISE OPTICAL CENTER


Address: 590 Broadway, Bayonne, NJ 07002-3826
Phone: 2018233998

BAYONNE WISE OPTICAL CENTER (NPI# 1225234537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225234537
Entity Type Organization
Organization Name BAYONNE WISE OPTICAL CENTER
Practice Address 590 Broadway
Bayonne
NJ 07002-3826
Practice Telephone 2018233998
Practice Fax Number 2018232181
Mailing Telephone 2018233998
Mailing Fax Number 2018232181
Enumeration Date 2007-06-23
Last Update Date 2020-08-22
Authorized Official Name MR. PEDRO VIRGILIO PEREZ (OWNER)
Authorized Official Telephone 2018233998
Authorized Official Credential OPTICIAN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
D3143 NJ Ambulatory Health Care Facilities

Office Location

Street Address 590 BROADWAY
City BAYONNE
State NJ
Zip Code 07002-3826

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City BAYONNE
Zip Code 07002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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