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Organization

IRVINGTON EYE CARE LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PARAG RAITHATHA (MEMBER)
(973) 416-6664
Entity
Organization

Contact information

Practice address
1053 SPRINGFIELD AVE, IRVINGTON, NJ 07111-2408
(973) 416-6664
(973) 416-6649
Mailing address
1053 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
05
0257591
NJ
Enumeration date
11/04/2010
Last updated
07/13/2026
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