Double Vision, Pc

NPI 1053391219 - Optometrist - 152WC0802X

NPI Details
NPI 1053391219
Enumeration Date 01/21/2006
Last Updated 01/30/2009
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JOHN G JOHN
Position PRESIDENT
Phone (732) 583-3600
Fax (732) 583-3770
Practice Location
443 RTE 34
SUITE F, MARKETPLACE MALL
MATAWAN NJ, 07747-9506, US
Phone (732) 583-3600
Fax (732) 583-3770
Business Location
443 RTE 34
SUITE F, MARKETPLACE MALL
MATAWAN NJ, 07747-9506, US
Phone (732) 583-3600
Fax (732) 583-3770
Toxanomy
Taxonomy Code 152WC0802X
License State New Jersey
License Number 270A00505900
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According to our database, Double Vision, Pc NPI is 1053391219, taxonomy code is 152WC0802X and license number is 270A00505900, license state is located at New Jersey. Double Vision, Pc physically located at 443 Rte 34, Matawan NJ, 07747-9506. NPI Number 1033115704 has the healthcare provider type.

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1053391219 NPI number is provided on an as is basis without warranty of any kind. 1053391219 is maintained by the National Plan & Provider Enumeration System. The contents of Double Vision, Pc are for informational purposes only.