# VINCENT R. VICCI, JR. O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295934651
- **Authorized official:** DR. VINCENT RICHARD VICCI JR. O.D. (OWNER)
- **Authorized official phone:** (908) 654-7950

## Contact information

- **Practice address:** 592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
- **Practice address phone:** (908) 654-7950
- **Practice address fax:** (908) 654-7956
- **Mailing address:** 592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
- **Mailing address phone:** (908) 654-7950
- **Mailing address fax:** (908) 654-7956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 270A00416900 | NJ | Yes |
| 152WP0200X | Pediatric Optometrist | 270A00416900 | NJ | — |
| 152WV0400X | Vision Therapy Optometrist | 270A00416900 | NJ | — |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 04/03/2013