Provider Demographics
NPI:1043031800
Name:JAMOPTICAL LLC
Entity type:Organization
Organization Name:JAMOPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RULXNER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUMORNAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-504-5504
Mailing Address - Street 1:31A HUNT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2746
Mailing Address - Country:US
Mailing Address - Phone:617-272-3212
Mailing Address - Fax:
Practice Address - Street 1:680 TRUMAN PARK WAY
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136
Practice Address - Country:US
Practice Address - Phone:617-272-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMOPTICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare