| Organization Name: | LAKELAND EYE CARE PC |
| NPI Number: | 1467613935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARLENE AHMAD (PRESIDENT) |
| Mailing Address: | 223 W Main St Boonton |
| State: | NJ US |
| Postal Code: | 070051166 |
| Phone Number: | 9732632080 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 25MA03113100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |