Individual
DR. VINCENT RICHARD VICCI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 654-7950
(908) 654-7956
Mailing address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 654-7950
(908) 654-7956
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
27OA00416900
NJ
152WP0200X
Pediatric Optometrist
27OA00416900
NJ
152WV0400X
Vision Therapy Optometrist
27OA00416900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521477UJ2
MEDICARE RENDERING DOCTOR
NJ
Enumeration date
01/01/2007
Last updated
04/03/2013
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