Provider Demographics
NPI:1306856323
Name:ADVANCED VISION CARE INC
Entity Type:Organization
Organization Name:ADVANCED VISION CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WESHEFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-209-2255
Mailing Address - Street 1:287 HIGHWAY 94
Mailing Address - Street 2:PMB 314
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462
Mailing Address - Country:US
Mailing Address - Phone:843-877-6086
Mailing Address - Fax:843-903-0068
Practice Address - Street 1:287 ROUTE 94
Practice Address - Street 2:PMB 314
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-0008
Practice Address - Country:US
Practice Address - Phone:843-877-6086
Practice Address - Fax:843-903-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 04767152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty