Provision Family Eye Care

NPI #1407397011 in Trenton, New Jersey

Provider Information

NPI Number: 1407397011
Entity Type: Organization
Organization Name: Provision Family Eye Care
Primary Specialty: Optometrist
Enumeration Date: Mar 15, 2017
Last Updated: Mar 15, 2017

Practice Location

Address: 3452 BROIDY RD
Address 2: MCGUIRE AFB
City: Trenton
State: New Jersey
ZIP Code: 08641-5305
Phone: (609) 723-8957

Authorized Official

Name: MONIKA WYSOCZANSKA, OD
Title: OWNER
Phone: (609) 723-8957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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