Active NPIOrganization

Provision Family Eye Care

Optometrist in Trenton, New Jersey

NPI Number1407397011
Practice location
3452 Broidy RD, Mcguire Afb, Trenton, NJ 08641-5305
Fax
—
Last updated
March 15, 2017

Provision Family Eye Care is a healthcare organization based in Trenton, NJ. Provision Family Eye Care practices in Trenton, NJ. The NPI Number for Provision Family Eye Care is 1407397011 and holds a License No. 27oa00611200 (NJ). The current practice location address for Provision Family Eye Care is 3452 Broidy RD, Mcguire Afb, Trenton, NJ 08641-5305 and can be reached out via phone at 609-723-8957.

Provider Profile Details

NPI Number
1407397011
Provider Name
Provision Family Eye Care
Provider Entity Type
Organization
Address
3452 Broidy RD, Mcguire Afb, Trenton, NJ 08641-5305
Phone Number
609-723-8957
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Monika Wysoczanska, OD · Owner · 609-723-8957
Provider Enumeration Date
March 15, 2017
Last Update Date
March 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
3452 Broidy RD
Mcguire Afb
Trenton, NJ 08641-5305
Zip
08641-5305
Phone Number
609-723-8957
Trenton, NJ 08641Get directions →

Provider Business Mailing Address Details

Address
3452 Broidy RD
Mcguire Afb
Trenton, NJ 08641-5305
City
Trenton
State
NJ
Zip
08641-5305

License Information

License Number
27oa00611200
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Provision Family Eye Care?

The NPI number of Provision Family Eye Care is 1407397011. It was assigned on March 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Provision Family Eye Care?

Provision Family Eye Care is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27oa00611200.

Where does Provision Family Eye Care practice?

The practice location is 3452 Broidy RD, Mcguire Afb, Trenton, NJ 08641-5305. The office can be reached at 609-723-8957 (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 1407397011 directly on the NPPES registry website.

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