Organization
EYECARE 20/20- WEST ORANGE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI MULI (ADMINISTRATOR)
(973) 560-1500
Entity
Organization
Contact information
Practice address
95 NORTHFIELD AVE, SUITE #2, WEST ORANGE, NJ 07052-4731
(973) 731-8050
Mailing address
46 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3104
(973) 560-1500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
08/08/2011
Last updated
11/08/2011
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