Organization Name: | VISUAL EYES EYECARE |
NPI Number: | 1396063400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLLEEN M. CASATELLI-BRONDO (PRESIDENT) |
Mailing Address: | 90 Us Highway 206 Ste 150 Byram Plaza Stanhope |
State: | NJ US |
Postal Code: | 078743131 |
Phone Number: | 9736910700 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | NJ 2202 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |