Organization Name: | TML VISION CARE, LLC |
NPI Number: | 1275806929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMMA MUTZ (MANAGING MEMBER) |
Mailing Address: | 154 Route 10 Unit B East Hanover |
State: | NJ US |
Postal Code: | 07936 |
Phone Number: | 9732481188 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2012 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 31TD00305000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |