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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED A PODBIELAK, OPTHALMIC DISPENSER

Active Sole Proprietor

FRED A PODBIELAK, OPTHALMIC DISPENSER is a Optician, Dispensing healthcare provider located in ELIZABETH, New Jersey. NPI 1437369667 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · ELIZABETH, NJ

Registration Details

NPI Number
1437369667
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2007 (19.250087205315 yrs)
Last Updated
Jul 9, 2007
License
TD-2296 (NJ)
Sole Proprietor
Yes

Practice Information

Address
701 NEWARK AVE
STE 204
ELIZABETH, NJ, 072083550
Browse NJ providers · Browse ZIP 07208
Phone
9083552774
Fax
9083551185
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in ELIZABETH, NJ

Name Credential NPI
MR. VALERY NAYMAGON OPHTHALMIC DISPENSER 1124133145
KHALID OSMAN BANGA JR. 1730823659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.