Organization
OM EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILI SHUKLA OD (OD/PRESIDENT)
(908) 546-5681
Entity
Organization
Contact information
Practice address
1290 US HIGHWAY 22 E, NORTH PLAINFIELD, NJ 07060-3518
(908) 546-5681
(908) 546-5682
Mailing address
208 LENOX AVE # 103, WESTFIELD, NJ 07090-5120
(908) 315-7907
(908) 546-5682
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
27OA00601300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119032
—
NJ
Enumeration date
11/14/2013
Last updated
04/29/2020
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