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Organization

AKT EYE CARE, LLC

Active
Other names
Envision Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVAN GEE YOUNG JOO O.D. (OWNER/OPTOMETRIST)
(201) 944-9889
Entity
Organization

Contact information

Practice address
215 MAIN ST, FORT LEE, NJ 07024-5701
(201) 944-9889
(201) 944-9989
Mailing address
215 MAIN ST, FORT LEE, NJ 07024-5701
(201) 944-9889
(201) 944-9989

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00581500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0053520
NJ
01
204644
COLE MANAGED VISION
NJ
01
2944687
AETNA TRADITIONAL
NJ
01
311462
NVA
NJ
01
3460860
AETNA HMO
NJ
01
6397147
CIGNA
NJ
01
P3545665
OXFORD
NJ
Enumeration date
07/05/2006
Last updated
01/05/2010
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