Whalio Doctors

NPI 1780863035

Junior Eagle Corporation

Organisation Eyewear Supplier Fort Lee, NJ

Practice location

Address
104 Linwood Plz, Fort Lee, NJ 07024-3701
Phone
(201) 461-0010
Fax
(201) 461-4111

Authorised official

Name
Paul Shahinian
Title
Owner
Phone
(201) 461-0010

Registered specialties

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X Licence 27OA00416500 (NJ)

Registry record

NPI
1780863035
Entity type
Organization
NPI issued
2 Nov 2007
Record last updated
18 Dec 2007

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.