Organization
JOSEPH A. VIVIANO O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A. VIVIANO O.D. (OWNER)
(908) 277-3116
Entity
Organization
Contact information
Practice address
52 DEFOREST AVE, SUMMIT, NJ 07901-1930
(908) 277-3116
(908) 273-4522
Mailing address
52 DEFOREST AVE, SUMMIT, NJ 07901-1930
(908) 277-3116
(908) 273-4522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270AOO278100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C40081
—
NY
Enumeration date
01/08/2007
Last updated
04/02/2009
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