Organization Name: | JERSEY SHORE EYECARE |
NPI Number: | 1366620668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS MICHAEL KRAUTHEIM (OWNER) |
Mailing Address: | 105 Brick Mall Brick |
State: | NJ US |
Postal Code: | 087234163 |
Phone Number: | 7324777101 |
Fax Number: | 7324777008 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | D2257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |