Passaic Vision Center ,Llc.

LBN: Passaic Vision Center ,Llc.
Passaic Vision Center ,Llc. is an health care organization with primary practice located at 289 Monroe St. Passaic Vision Center, Passaic NJ 07055-5209. 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. Passaic Vision Center ,Llc. can be contacted via phone (973) 473-5151, or through Mendoza, Luis via phone (973) 473-5151.

Contact Information

Primary practice address
289 Monroe St. Passaic Vision Center Passaic NJ 07055-5209
Phone: (973) 473-5151
Fax: (973) 473-3331
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Luis Doctor of Medicine (MD)
Phone: (973) 473-5151

Health care specialties

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

Profile Details

NPI number 1194912154
LBN Legal business name Passaic Vision Center ,Llc.
DBA Doing business as
Authorized official Mendoza, Luis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Nov 22nd, 2013 - about 12 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 1194912154 NPPES
New Jersey MEDICAID 0054721

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