Organization Name: | DR. MO'S EYE CARE |
NPI Number: | 1861785701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY MOLOCK-HEROLD (OPTOMETRIST) |
Mailing Address: | 2000 Clements Bridge Rd Ste 116 Deptford |
State: | NJ US |
Postal Code: | 080962016 |
Phone Number: | 8563842501 |
Fax Number: | 8563842503 |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |