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Charles Robert Kelly
Optician in North Brunswick, New Jersey
NPI 1376228742

Charles Robert Kelly is a Optician based in North Brunswick, NJ and is specialized in Optician. Charles Robert Kelly practices in North Brunswick, NJ. The NPI Number for Charles Robert Kelly is 1376228742 and holds a License No. TD3694 (New Jersey).

The current practice location address for Charles Robert Kelly is Walmart Vision 979 Route 1 South, North Brunswick, NJ and can be reached out via phone at 732-545-0435 and via fax at 732-545-0629.

Location: Walmart Vision 979 Route 1 South, North Brunswick, NJ, 08902-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376228742
Provider Name
Charles Robert Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
Walmart Vision 979 Route 1 South, North Brunswick, NJ, 08902-2712
Phone Number
732-545-0435
Fax Number
732-545-0629
Provider Enumeration Date
06/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Walmart Vision 979 Route 1 South
City
North Brunswick
State
New Jersey
Zip
08902-1902
Phone Number
732-545-0435
Fax Number
732-545-0629
person
Provider Business Mailing Address Details
Address
Walmart Vision 979 Route 1 South
City
North Brunswick
State
New Jersey
Zip
08902-1902
Phone Number
732-545-0435
Fax Number
732-545-0629
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
TD3694 (New Jersey)
Definition
Definition to come...
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