Organization
FANWOOD EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SHIN OD (OWNER)
(908) 288-7227
Entity
Organization
Contact information
Practice address
246 SOUTH AVE, #106, FANWOOD, NJ 07023-1220
(978) 987-0698
Mailing address
246 SOUTH AVE, #106, FANWOOD, NJ 07023-1220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00643700
NJ
Other
Enumeration date
01/12/2017
Last updated
11/07/2017
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