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BROADWAY OPTICAL LLC
NPI 1215721824
Optometrist in Palisades Park, NJ

Active since April 08, 2025
204 BROAD AVE, PALISADES PARK, NJ 07650(201) 585-7111 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Optical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY OPTICAL LLC (NPI 1215721824), doing business as Broadway Optical, is a healthcare organization registered as an optometrist in Palisades Park, New Jersey and active in the NPI registry since April 2025. The organization lists Jeanine Elizabeth Graves, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1215721824
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBROADWAY OPTICAL LLC
Location Address204 BROAD AVEPalisades Park, NJ 07650-1509
Mailing Address204 Broad AvePalisades Park, NJ 07650-1509 · (201) 585-7111
Phone(201) 585-7111
Organization SubpartNo
Authorized OfficialJeanine Elizabeth GravesOptometrist · (201) 310-6947
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1215721824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
204 BROAD AVE, Palisades Park, NJ 07650
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Other Names 1

Doing Business AsBroadway Optical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROADWAY OPTICAL LLC
Technician/Technologist (Optician)
204 BROAD AVE
PALISADES PARK, NJ 07650
Bergen County (201) 585-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Optical LLC's NPI number?

The NPI number for Broadway Optical LLC is 1215721824. It was assigned to this organization in the NPPES registry on April 8, 2025. The provider is doing business as Broadway Optical.

Where is Broadway Optical LLC located?

Broadway Optical LLC is located at 204 Broad Ave, Palisades Park, NJ 07650. The listed phone number is (201) 585-7111.

What is Broadway Optical LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Broadway Optical LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.