Provider Demographics
NPI:1154536027
Name:REMS OPTICIANS
Entity type:Organization
Organization Name:REMS OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:REMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-388-2020
Mailing Address - Street 1:1166 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1311
Mailing Address - Country:US
Mailing Address - Phone:732-388-2020
Mailing Address - Fax:732-388-5561
Practice Address - Street 1:1166 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1311
Practice Address - Country:US
Practice Address - Phone:732-388-2020
Practice Address - Fax:732-388-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-13
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD955156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ143962OtherEYEMED
NJ143962OtherEYEMED