Organization
PROFESSIONAL EYECARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY STRULL (OFFICE MANAGER)
(201) 986-0202
Entity
Organization
Contact information
Practice address
275 FOREST AVE, SUITE 115, PARAMUS, NJ 07652-5426
(201) 986-0202
(201) 986-0977
Mailing address
275 FOREST AVE, SUITE 115, PARAMUS, NJ 07652-5426
(201) 986-0202
(201) 986-0977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00271700
NJ
152W00000X
Optometrist
Primary
27OA00467700
NJ
152W00000X
Optometrist
27OA00605100
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OM00022900
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OM00026100
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
27OM00022900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01131
SPECTERA
NJ
01
—
1848
DAVIS VISION
NJ
01
—
1K6548
HEALTHNET
NJ
01
—
28302
AUSHC
NJ
05
—
2849208
—
NJ
01
—
29534
AMERIGROUP
NJ
01
—
310832
NVA
NJ
01
—
410007420
RRMCR
NJ
01
—
60000697
GHI
NJ
01
—
908499
BLOCK VISION
NJ
01
—
NJ4677
EYEMED
NJ
01
—
P467376
OXFORD
NJ
Enumeration date
08/30/2006
Last updated
02/01/2010
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