Provider Demographics
NPI:1063036564
Name:SENIOR EYE CARE PC
Entity Type:Organization
Organization Name:SENIOR EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-208-2387
Mailing Address - Street 1:205 ROUTE 9 N STE 24
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8561
Mailing Address - Country:US
Mailing Address - Phone:732-255-2252
Mailing Address - Fax:848-444-9801
Practice Address - Street 1:6 CHESLEY CT
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1320
Practice Address - Country:US
Practice Address - Phone:732-208-2387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty