Organization
EYES FOR AMERICA, INC.
Active
Other names
STAR OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
VAN P VINCIGUERRA O.D. (OPTOMETRIST)
(973) 684-1545
Entity
Organization
Contact information
Practice address
158 MARKET ST, PATERSON, NJ 07505-1702
(973) 684-1545
(973) 345-6120
Mailing address
158 MARKET ST, PATERSON, NJ 07505-1702
(973) 684-1545
(973) 345-6120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4306
NJ
152W00000X
Optometrist
5207
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380601
—
NJ
05
—
3279201
—
NJ
05
—
5257905
—
NJ
Enumeration date
09/25/2006
Last updated
03/07/2008
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