Provider Demographics
NPI:1154662732
Name:MICHAEL A. ORNSTEIN OD PA
Entity Type:Organization
Organization Name:MICHAEL A. ORNSTEIN OD PA
Other - Org Name:VILLAGE OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-781-2121
Mailing Address - Street 1:318 ROUTE 202-206
Mailing Address - Street 2:PO BOX 409
Mailing Address - City:PLUCKEMIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07978-0409
Mailing Address - Country:US
Mailing Address - Phone:908-781-2121
Mailing Address - Fax:908-781-7747
Practice Address - Street 1:318 ROUTE 202-206
Practice Address - Street 2:
Practice Address - City:PLUCKEMIN
Practice Address - State:NJ
Practice Address - Zip Code:07978-0409
Practice Address - Country:US
Practice Address - Phone:908-781-2121
Practice Address - Fax:908-781-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X
NJ27OA00349400332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty