Organization
WAYNE OPTOMETRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED J SIWIEC (PRES.)
(973) 633-1234
Entity
Organization
Contact information
Practice address
1595-2 RT. 23 SO., WAYNE, NJ 07470-7508
(973) 633-1234
(973) 633-1307
Mailing address
1595-2 ROUTE 23 SOUTH, WAYNE, NJ 07470-7508
(973) 633-1234
(973) 633-1307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OM00061200
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OM00061200
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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