Fanwood Eye Care LLC

NPI #1396281564 in Fanwood, New Jersey

Provider Information

NPI Number: 1396281564
Entity Type: Organization
Organization Name: Fanwood Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 12, 2017
Last Updated: Nov 7, 2017

Practice Location

Address: 246 SOUTH AVE
Address 2: #106
City: Fanwood
State: New Jersey
ZIP Code: 07023-1220
Phone: (978) 987-0698

Authorized Official

Name: KATHY SHIN, OD
Title: OWNER
Phone: (908) 288-7227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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