- Practice location
- 246 South Ave, #106, Fanwood, NJ 07023-1220
- Phone
- 978-987-0698
- Fax
- —
- Last updated
- November 7, 2017
Fanwood Eye Care LLC is a healthcare organization based in Fanwood, NJ. Fanwood Eye Care LLC practices in Fanwood, NJ. The NPI Number for Fanwood Eye Care LLC is 1396281564 and holds a License No. 27OA00643700 (NJ). The current practice location address for Fanwood Eye Care LLC is 246 South Ave, #106, Fanwood, NJ 07023-1220 and can be reached out via phone at 978-987-0698.
Provider Profile Details
- NPI Number
- 1396281564
- Provider Name
- Fanwood Eye Care LLC
- Provider Entity Type
- Organization
- Address
- 246 South Ave, #106, Fanwood, NJ 07023-1220
- Phone Number
- 978-987-0698
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Kathy Shin, OD · Owner · 908-288-7227
- Provider Enumeration Date
- January 12, 2017
- Last Update Date
- November 7, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 South Ave
#106
Fanwood, NJ 07023-1220 - City
- Fanwood
- State
- New Jersey
- Zip
- 07023-1220
- Phone Number
- 978-987-0698
Provider Business Mailing Address Details
- Address
- 246 South Ave
#106
Fanwood, NJ 07023-1220 - City
- Fanwood
- State
- NJ
- Zip
- 07023-1220
License Information
- License Number
- 27OA00643700
- License State
- NJ
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fanwood Eye Care LLC?
The NPI number of Fanwood Eye Care LLC is 1396281564. It was assigned on January 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Fanwood Eye Care LLC?
Fanwood Eye Care LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00643700.
Where does Fanwood Eye Care LLC practice?
The practice location is 246 South Ave, #106, Fanwood, NJ 07023-1220. The office can be reached at 978-987-0698 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396281564 directly on the NPPES registry website.