Broadway Optical LLC
Optometrist in Palisades Park, New Jersey
1215721824- Practice location
- 204 Broad Ave, Palisades Park, NJ 07650-1509
- Phone
- 201-585-7111
- Fax
- —
- Last updated
- April 8, 2025
Broadway Optical LLC is a healthcare organization based in Palisades Park, NJ. Broadway Optical LLC practices in Palisades Park, NJ. The NPI Number for Broadway Optical LLC is 1215721824. The current practice location address for Broadway Optical LLC is 204 Broad Ave, Palisades Park, NJ 07650-1509 and can be reached out via phone at 201-585-7111.
Provider Profile Details
- NPI Number
- 1215721824
- Provider Name
- Broadway Optical LLC
- Provider Entity Type
- Organization
- Address
- 204 Broad Ave, Palisades Park, NJ 07650-1509
- Phone Number
- 201-585-7111
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jeanine Elizabeth Graves, OD · Optometrist · 201-310-6947
- Other Names
- Broadway Optical (Doing Business As)
- Provider Enumeration Date
- April 8, 2025
- Last Update Date
- April 8, 2025
- Certification Date
- April 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Broad Ave
Palisades Park, NJ 07650-1509 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-1509
- Phone Number
- 201-585-7111
Provider Business Mailing Address Details
- Address
- 204 Broad Ave
Palisades Park, NJ 07650-1509 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-1509
- Phone Number
- 201-585-7111
License Information
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Palisades Park, NJ
View all Optometrists in Palisades Park →Frequently Asked Questions
What is the NPI number of Broadway Optical LLC?
The NPI number of Broadway Optical LLC is 1215721824. It was assigned on April 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Broadway Optical LLC?
Broadway Optical LLC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Broadway Optical LLC practice?
The practice location is 204 Broad Ave, Palisades Park, NJ 07650-1509. The office can be reached at 201-585-7111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215721824 directly on the NPPES registry website.