Provider Demographics
NPI:1215196084
Name:J MAX OPTICS, INC
Entity type:Organization
Organization Name:J MAX OPTICS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-564-7669
Mailing Address - Street 1:536 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1338
Mailing Address - Country:US
Mailing Address - Phone:201-564-7669
Mailing Address - Fax:201-564-7672
Practice Address - Street 1:536 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-1338
Practice Address - Country:US
Practice Address - Phone:201-564-7669
Practice Address - Fax:201-564-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier