Organization
ANGEL EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY G ANGEL O.D. (OWNER)
(973) 392-3182
Entity
Organization
Contact information
Practice address
1 TETERBORO LANDING DR, INSIDE WALMART VISION CENTER, TETERBORO, NJ 07608
(201) 375-4005
Mailing address
69 CENTER ST, BELLEVILLE, NJ 07109-1705
(973) 392-3182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00595000
NJ
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519081
—
NJ
Enumeration date
10/20/2016
Last updated
11/15/2018
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