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PJ OPTICAL
NPI 1396993622
Eyewear Supplier in Port Jefferson Station, NY

Active since August 28, 2008
1010 ROUTE 112, SUITE 300, PORT JEFFERSON STATION, NY 11776(631) 476-3500 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pj Optical NPPES

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

PJ OPTICAL (NPI 1396993622) is a healthcare organization registered as an eyewear supplier in Port Jefferson Station, New York and active in the NPI registry since August 2008. The organization lists Kelly Roxby, Manager, as its authorized official.

NPPES Registry Identity

NPI1396993622
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePJ OPTICAL
Location Address1010 ROUTE 112, SUITE 300Port Jefferson Station, NY 11776-3387
Mailing Address1010 Route 112, Suite 300Port Jefferson Station, NY 11776-3387 · (631) 476-3500
Phone(631) 476-3500
Organization SubpartNo
Authorized OfficialKelly RoxbyManager · (631) 612-2706
Enumeration DateAugust 28, 2008
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1396993622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1010 ROUTE 112, Port Jefferson Station, NY 11776
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Other Identifiers 1

Medicare NSC6144990001NY

Other Providers at the Same Location NPPES 20

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

SAUNDRA JENNINGS
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
SAMANTHA PETIE-JUDGE
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
MRS. SHANNON DAWN DELUCA P.T.
Physical Therapist
1010 ROUTE 112, SUITE 200
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-4880
MRS. EILEEN BORDT LPN
Licensed Practical Nurse
1010 ROUTE 112, 210
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
SOPHEYA LUCKOO
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
JESSICA CLASEN
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
KATHERINE MCCAULEY GRAZIANO OTR/L, PT, DPT, CLT
Physical Therapist
1010 ROUTE 112, SUITE 200
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-4880
THOMAS GEANTASIO
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200

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 Pj Optical's NPI number?

The NPI number for Pj Optical is 1396993622. It was assigned to this organization in the NPPES registry on August 28, 2008.

Where is Pj Optical located?

Pj Optical is located at 1010 Route 112 Suite 300, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-3500.

What is Pj Optical's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Pj Optical was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.