Provider Demographics
NPI:1346761954
Name:S P EYE CARE OF ROCKAWAY LLC
Entity Type:Organization
Organization Name:S P EYE CARE OF ROCKAWAY LLC
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SZILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-366-8144
Mailing Address - Street 1:343 MOUNT HOPE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-1644
Mailing Address - Country:US
Mailing Address - Phone:973-366-8144
Mailing Address - Fax:973-366-2572
Practice Address - Street 1:343 MOUNT HOPE AVE STE 2
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-1644
Practice Address - Country:US
Practice Address - Phone:973-366-8144
Practice Address - Fax:973-366-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service