Provider Demographics
NPI:1093228777
Name:ACU-VISION THERAPY LLC.
Entity Type:Organization
Organization Name:ACU-VISION THERAPY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-982-0761
Mailing Address - Street 1:876 TEQUESTA DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2108
Mailing Address - Country:US
Mailing Address - Phone:201-891-2033
Mailing Address - Fax:
Practice Address - Street 1:141 KINDERKAMACK RD STE L
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07656-1344
Practice Address - Country:US
Practice Address - Phone:201-690-6690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty