| Organization Name: | DOUBLE VISION, PC |
| NPI Number: | 1053391219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN G LIPCHAK (PRESIDENT) |
| Mailing Address: | 443 Rte 34 Suite F, Marketplace Mall Matawan |
| State: | NJ US |
| Postal Code: | 077479506 |
| Phone Number: | 7325833600 |
| Fax Number: | 7325833770 |
| NPI Enumeration Date: | 01/21/2006 |
| NPI Last Update Date: | 01/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 270A00505900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |