Organization Name: | DR. LYNNE M. PORRECA |
NPI Number: | 1114195625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNNE M. PORRECA (OWNER) |
Mailing Address: | 211 Buck St Millville |
State: | NJ US |
Postal Code: | 083323817 |
Phone Number: | 8568251011 |
Fax Number: | 8563271333 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OA004381 |
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. |