Organization
EDISON OPTICAL CORPORATION
Active
Other names
PROFESSIONAL EYECARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE L MCENENY BA (PRACTICE ADMINISTRATOR)
(732) 738-1904
Entity
Organization
Contact information
Practice address
940 AMBOY AVE, EDISON, NJ 08837-2811
(738) 738-1904
(732) 738-6006
Mailing address
940 AMBOY AVE, EDISON, NJ 08837-2811
(738) 738-1904
(732) 738-6006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
04/04/2011
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