Optical Boutique Llc

LBN: Optical Boutique Llc
Optical Boutique Llc is an health care organization with primary practice located at 1 Spring St Unit 101, New Brunswick NJ 08901-2276. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is the primary health care specialty. Optical Boutique Llc can be contacted via phone (732) 246-6895, or through Manukyan, Karina via phone (732) 246-6895.

Contact Information

Primary practice address
1 Spring St Unit 101 New Brunswick NJ 08901-2276
Fax:
Website:
Authorized official contact:
Name: Manukyan, Karina

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 270A00552600 New Jersey
Eye and Vision Services Providers / Optician 156FX1800X 31TD00317100 New Jersey

Profile Details

NPI number 1033371331
LBN Legal business name Optical Boutique Llc
DBA Doing business as
Authorized official Manukyan, Karina
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Feb 7th, 2014 - about 10 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 1033371331 NPPES
New Jersey MEDICAID 0165441

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