Provider Demographics
NPI:1447235460
Name:FELICIA-AURE, CATHERINE (OD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:FELICIA-AURE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MULE RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5028
Mailing Address - Country:US
Mailing Address - Phone:732-349-5622
Mailing Address - Fax:732-349-5625
Practice Address - Street 1:20 MULE RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5028
Practice Address - Country:US
Practice Address - Phone:732-349-5622
Practice Address - Fax:732-349-5625
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA05125152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ694465DKXMedicare ID - Type Unspecified
NJU22814Medicare UPIN