Organization
EYECARE SPECIALTIES SUPPORT OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLISON (SR. DIRECTOR MVC)
(618) 604-5208
Entity
Organization
Contact information
Practice address
901 ROUTE 168 STE 409-410, BLACKWOOD, NJ 08012-3210
(618) 462-9818
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
10/14/2025
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