Organization
VISION CONSULTANTS OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN T WIN OD (OPTOMETRIST)
(732) 780-0767
Entity
Organization
Contact information
Practice address
320 W MAIN ST, FREEHOLD, NJ 07728-2524
(732) 780-0767
(732) 780-0787
Mailing address
3007 VANTAGE CT, DENVILLE, NJ 07834-3453
(973) 493-3322
(973) 366-6486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00628400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227141ZDLP
MEDICARE PTAN NUMBER
NJ
Enumeration date
10/21/2013
Last updated
10/23/2013
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