Organization
IRVINGTON EYE CARE LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILI CHITALIA O.D. (OPTOMETRIST)
(973) 416-6664
Entity
Organization
Contact information
Practice address
1091B SPRINGFIELD AVE, IRVINGTON, NJ 07111-2408
(973) 416-6664
(973) 416-6649
Mailing address
1091B SPRINGFIELD AVE, IRVINGTON, NJ 07111-2408
(973) 416-6664
(973) 416-6649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00601302
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119032
—
NJ
Enumeration date
11/04/2010
Last updated
11/26/2013
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