Provider Demographics
NPI:1114144599
Name:EYES OF JOY
Entity Type:Organization
Organization Name:EYES OF JOY
Other - Org Name:JERSEY GARDENS OPTOMETRIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-354-1077
Mailing Address - Street 1:651 KAPKOWSKI RD
Mailing Address - Street 2:1236
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201
Mailing Address - Country:US
Mailing Address - Phone:908-354-1077
Mailing Address - Fax:908-354-1344
Practice Address - Street 1:651 KAPKOWSKI RD
Practice Address - Street 2:SUITE1236
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201
Practice Address - Country:US
Practice Address - Phone:908-354-1077
Practice Address - Fax:908-354-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA000498900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty