Provider Demographics
NPI:1083997324
Name:HINDSIGHT 2020 LLC
Entity Type:Organization
Organization Name:HINDSIGHT 2020 LLC
Other - Org Name:HINDSIGHT 20/20
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-389-2219
Mailing Address - Street 1:300 DEAL LAKE DR
Mailing Address - Street 2:SUITE 50
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5173
Mailing Address - Country:US
Mailing Address - Phone:732-389-2219
Mailing Address - Fax:732-502-3217
Practice Address - Street 1:180 ROUTE 35 S
Practice Address - Street 2:OPTICAL
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2023
Practice Address - Country:US
Practice Address - Phone:732-389-2219
Practice Address - Fax:732-502-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00623500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty