Organization
KIRK OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA JOANNE WEISBECK KIRK O.D. (OWNER)
(609) 242-4205
Entity
Organization
Contact information
Practice address
442 LACEY RD, #3, FORKED RIVER, NJ 08731-2436
(609) 242-4205
(609) 242-4206
Mailing address
442 LACEY RD, #3, FORKED RIVER, NJ 08731-2436
(609) 242-4205
(609) 242-4206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00638600
NJ
Other
Enumeration date
09/19/2014
Last updated
11/25/2014
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