FLOYD STEPHEN PATTERSPN


Address: 1151 Liberty Ave, Hillside, NJ 07205-2143
Phone: 9083510420

FLOYD STEPHEN PATTERSPN (NPI# 1407021322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407021322
Entity Type Individual
Full Name FLOYD STEPHEN PATTERSPN
Other Name NA NA NA
Credential OPTICIAN
Practice Address 1151 Liberty Ave
Hillside
NJ 07205-2143
Practice Telephone 9083510420
Practice Fax Number 9083510421
Mailing Telephone 9083510420
Mailing Fax Number 9083510421
Enumeration Date 2008-04-23
Last Update Date 2008-04-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FX1800X Technician/Technologist
Specialization: Optician
D755 NJ Eye and Vision Services Providers
Y 156FX1800X Technician/Technologist
Specialization: Optician
D-755 NJ Eye and Vision Services Providers

Office Location

Street Address 1151 LIBERTY AVE
City HILLSIDE
State NJ
Zip Code 07205-2143

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1689125080 Nj Vision Care LLC Optometrist 1151 Liberty Ave, #b, Hillside, NJ 07205-2143 2016-10-20

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City HILLSIDE
Zip Code 07205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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