Provider Demographics
NPI:1275794695
Name:EYE CARE UNLIMITED, LLC
Entity Type:Organization
Organization Name:EYE CARE UNLIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-393-7155
Mailing Address - Street 1:7 BELL ST APT 210
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2234
Mailing Address - Country:US
Mailing Address - Phone:973-393-7155
Mailing Address - Fax:973-299-1733
Practice Address - Street 1:300 WOOTTON ST
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1925
Practice Address - Country:US
Practice Address - Phone:973-299-1730
Practice Address - Fax:973-299-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00598400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty