Organization
SIMPLY EYECARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA V GAINES-SMITH O.D (OPTOMETRIST)
(973) 831-8381
Entity
Organization
Contact information
Practice address
48 STATE RT 23, RIVERDALE, NJ 07457-1602
(973) 831-8381
Mailing address
48 STATE ROUTE 23 NORTH, RIVERDALE, NJ 07457
(973) 831-8381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00522700
NJ
Other
Enumeration date
12/10/2010
Last updated
11/17/2011
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