NPI 1316060494

Optical Source, LTD.

Organisation Optometrist Matawan, NJ

Practice location

Address: 349g Matawan Rd, Matawan, NJ 07747-3907
Phone: (732) 583-2800
Fax: (732) 583-2829

Authorised official

Name: Jodie Cohen
Title: Owner
Phone: (732) 583-2800

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA00364701 (NJ)

Other Optometrist providers in New Jersey →

Registry record

NPI: 1316060494
Entity type: Organization
NPI issued: 6 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.