Garden State Optical

LBN: Harry Grossman, Md
Garden State Optical is an health care organization with primary practice located at 100 Brick Rd 115, Marlton NJ 08053-2146. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Harry Grossman, Md can be contacted via phone (856) 983-1400, or through Grossman, Harry via phone (856) 983-1400.

Contact Information

Primary practice address
100 Brick Rd 115 Marlton NJ 08053-2146
Phone: (856) 983-1400
Fax: (856) 983-1681
Website:
Map and Directions
Authorized official contact:
Name: Grossman, Harry Doctor of Medicine (MD)
Phone: (856) 983-1400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X MA65455 New Jersey

Profile Details

NPI number 1831305218
LBN Legal business name Harry Grossman, Md
DBA Doing business as Garden State Optical
Authorized official Grossman, Harry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Nov 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831305218 NPPES
New Jersey MEDICAID 3099717

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