Organization
VINCENT R. VICCI, JR. O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT RICHARD VICCI JR. O.D. (OWNER)
(908) 654-7950
Entity
Organization
Contact information
Practice address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 654-7950
(908) 654-7956
Mailing address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 654-7950
(908) 654-7956
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
270A00416900
NJ
152WP0200X
Pediatric Optometrist
270A00416900
NJ
152WV0400X
Vision Therapy Optometrist
270A00416900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093938
MEDICARE GROUP #
NJ
Enumeration date
07/16/2007
Last updated
04/03/2013
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