Provider Demographics
NPI:1235867698
Name:SPECTACULAR EYE CARE, LLC
Entity Type:Organization
Organization Name:SPECTACULAR EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATARZYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIESEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-278-4684
Mailing Address - Street 1:2 SOUTH AVE W STE 5
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2687
Mailing Address - Country:US
Mailing Address - Phone:908-287-5287
Mailing Address - Fax:908-287-5285
Practice Address - Street 1:2 SOUTH AVE W STE 5
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2687
Practice Address - Country:US
Practice Address - Phone:908-287-5287
Practice Address - Fax:908-287-5285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty