Provider Demographics
NPI:1114427069
Name:JAMIE ON OPTOMETRY LLC
Entity Type:Organization
Organization Name:JAMIE ON OPTOMETRY LLC
Other - Org Name:EYE CARE 4 YOU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-218-1264
Mailing Address - Street 1:PO BOX 6423
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-0423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LENSCRAFTERS AT MACYS
Practice Address - Street 2:400 COMMONS WAY
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-218-1264
Practice Address - Fax:908-218-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00651000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty