Organization
AFFINITY EYE CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY THOMAS DOOLEN O.D. (PRESIDENT)
19089642130
Entity
Organization
Contact information
Practice address
2222 MORRIS AVE, UNION, NJ 07083-5911
(908) 964-2130
(908) 964-2132
Mailing address
2222 MORRIS AVE, UNION, NJ 07083-5911
(908) 964-2130
(908) 964-2132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA0005177
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114481
—
NJ
Enumeration date
01/09/2007
Last updated
08/22/2020
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