Provider Demographics
NPI:1164706651
Name:SEE MORE EYE CARE
Entity Type:Organization
Organization Name:SEE MORE EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAIRONA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MIKHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-651-2070
Mailing Address - Street 1:561 CRANBURY RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5400
Mailing Address - Country:US
Mailing Address - Phone:732-651-2070
Mailing Address - Fax:732-651-2080
Practice Address - Street 1:561 CRANBURY RD
Practice Address - Street 2:SUITE E
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5400
Practice Address - Country:US
Practice Address - Phone:732-651-2070
Practice Address - Fax:732-651-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00585600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ228134OtherPTAN
NJ0026760Medicaid
NJ0026760Medicaid
NJU98896Medicare UPIN