Organization
PROVISION CONSULTANTS PC
Active
Other names
West Park Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARIN RAJEEV O.D. (PRESIDENT)
(732) 493-8700
Entity
Organization
Contact information
Practice address
893 W PARK AVE, OCEAN, NJ 07712-7205
(732) 493-8700
(732) 493-8707
Mailing address
893 W PARK AVE, OCEAN, NJ 07712-7205
(732) 493-8700
(732) 493-8707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00582300
NJ
Other
Enumeration date
04/25/2007
Last updated
01/21/2009
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