Provider Demographics
NPI:1235635541
Name:LAWRENCEVILLE EYE CARE LLC
Entity Type:Organization
Organization Name:LAWRENCEVILLE EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREIDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-219-9000
Mailing Address - Street 1:4 PRINCESS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2322
Mailing Address - Country:US
Mailing Address - Phone:609-219-9000
Mailing Address - Fax:609-219-1313
Practice Address - Street 1:4 PRINCESS RD STE 202
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2322
Practice Address - Country:US
Practice Address - Phone:609-219-9000
Practice Address - Fax:609-219-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA000396800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty