Organization
JERSEY SHORE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MICHAEL KRAUTHEIM OPTICIAN (OWNER)
(732) 477-7101
Entity
Organization
Contact information
Practice address
105 BRICK MALL, BRICK, NJ 08723-4163
(732) 477-7101
(732) 477-7008
Mailing address
105 BRICK MALL, BRICK, NJ 08723-4163
(732) 477-7101
(732) 477-7008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D2257
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037443-01
—
NJ
Enumeration date
02/08/2008
Last updated
02/08/2008
Update your record
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