Organization
NJ VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTIE M CHRISTOPHER OD (CEO)
(305) 879-9881
Entity
Organization
Contact information
Practice address
1151 LIBERTY AVE, #B, HILLSIDE, NJ 07205-2143
(908) 351-0420
Mailing address
5 LAWRENCE ST APT PH32, BLOOMFIELD, NJ 07003-4631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00662002
NJ
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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