Provider Demographics
NPI:1487857355
Name:BLOCK AND ZUCKERMAN OPTICIANS, INC.
Entity type:Organization
Organization Name:BLOCK AND ZUCKERMAN OPTICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-736-2697
Mailing Address - Street 1:796 NORTHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1025
Mailing Address - Country:US
Mailing Address - Phone:973-736-0503
Mailing Address - Fax:
Practice Address - Street 1:796 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1025
Practice Address - Country:US
Practice Address - Phone:973-736-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD1332332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0735710001Medicare NSC
NJ07355710001Medicare UPIN