Provider Demographics
NPI:1306033436
Name:MICHAEL A. MCALEESE, OD, PA
Entity Type:Organization
Organization Name:MICHAEL A. MCALEESE, OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCALEESE, OD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-984-6930
Mailing Address - Street 1:2380 U.S. HWY 9 SOUTH, C-6
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731
Mailing Address - Country:US
Mailing Address - Phone:732-984-6930
Mailing Address - Fax:732-414-1061
Practice Address - Street 1:2380 U.S. HWY 9 SOUTH, C-6
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731
Practice Address - Country:US
Practice Address - Phone:732-984-6930
Practice Address - Fax:732-414-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4888152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty