Fort Lee Vision LLC

NPI #1003144833 in Fort Lee, New Jersey

Provider Information

NPI Number: 1003144833
Entity Type: Organization
Organization Name: Fort Lee Vision LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 7, 2009
Last Updated: Dec 11, 2014

Practice Location

Address: 2151 LEMOINE AVE
City: Fort Lee
State: New Jersey
ZIP Code: 07024-6041
Phone: (201) 346-9000

Authorized Official

Name: DR. DIANE M. KIM, O.D.
Title: O.D./OWNER
Phone: (201) 346-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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