OrganizationActive
Optical Source, Ltd.
NPI 1316060494 · Optometrist · Matawan, NJ
Optical Source, Ltd. is a Optometrist organization in Matawan, NJ (NPI 1316060494).
Provider details
- NPI number
- 1316060494
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jodie Cohen, Owner(732) 583-2800
- License
- 27OA00364701 (NJ)
Practice location
349g Matawan Rd
Matawan, NJ 07747-3907
Phone: (732) 583-2800
Fax: (732) 583-2829
Street-level locationGet directions
Mailing address
349g Matawan Rd
Matawan, NJ 07747-3907
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.