Organization
PANCURAK EYE CENTER LLC
Active
Organization
PANCURAK EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEILA R TAYLOR RN (OWNER)
(732) 223-6555
Entity
Organization
Contact information
Practice address
436 COMMONS WAY BLDG D, ROUTE 37 WEST, TOMS RIVER, NJ 08755-6428
(732) 223-6555
(732) 223-3228
Mailing address
436 COMMONS WAY BLDG D, ROUTE 37 WEST, TOMS RIVER, NJ 08755-6428
(732) 223-6555
(732) 223-3228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
02/25/2014
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