Provider Demographics
NPI:1275970071
Name:FAMILY EYE CARE ASSOCIATES
Entity Type:Organization
Organization Name:FAMILY EYE CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:KANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-653-2020
Mailing Address - Street 1:118 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4649
Mailing Address - Country:US
Mailing Address - Phone:201-653-2020
Mailing Address - Fax:201-653-7603
Practice Address - Street 1:118 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4649
Practice Address - Country:US
Practice Address - Phone:201-653-2020
Practice Address - Fax:201-653-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA004542152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty