Provider Demographics
NPI:1356480008
Name:OCEAN FAMILY EYECARE INC.
Entity Type:Organization
Organization Name:OCEAN FAMILY EYECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN-KEELAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-458-4800
Mailing Address - Street 1:149 VAN ZILE RD
Mailing Address - Street 2:KEELAN EYECARE
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3158
Mailing Address - Country:US
Mailing Address - Phone:732-458-4800
Mailing Address - Fax:732-458-4877
Practice Address - Street 1:149 VAN ZILE RD
Practice Address - Street 2:KEELAN EYECARE
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3158
Practice Address - Country:US
Practice Address - Phone:732-458-4800
Practice Address - Fax:732-458-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty