| Organization Name: | FOKAS VISION CORPORATION -SALLY FOKAS |
| NPI Number: | 1093989626 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALLY ANN FOKAS (OPTICIAN/OWNER) |
| Mailing Address: | 547 Valley Rd Upper Montclair |
| State: | NJ US |
| Postal Code: | 070431880 |
| Phone Number: | 9737449041 |
| Fax Number: | 9737444907 |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 12/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 31TD00218900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |