Provider Demographics
NPI:1467760793
Name:JOSEPH LAMMENS OD PA
Entity Type:Organization
Organization Name:JOSEPH LAMMENS OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMMENS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:315-790-2909
Mailing Address - Street 1:WALMART VISION CENTER
Mailing Address - Street 2:150 HARRISON AVE
Mailing Address - City:KERNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2641
Mailing Address - Country:US
Mailing Address - Phone:315-790-2909
Mailing Address - Fax:
Practice Address - Street 1:WALMART VISION CENTER
Practice Address - Street 2:150 HARRISON AVE
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-5950
Practice Address - Country:US
Practice Address - Phone:201-955-0354
Practice Address - Fax:201-955-0363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27AO00606500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty