Provider Demographics
NPI:1467994749
Name:TICE'S EYES, INC.
Entity Type:Organization
Organization Name:TICE'S EYES, INC.
Other - Org Name:JAMES TRACEY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-746-6700
Mailing Address - Street 1:425 CHESTNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7679
Mailing Address - Country:US
Mailing Address - Phone:201-746-6700
Mailing Address - Fax:201-746-6699
Practice Address - Street 1:425 CHESTNUT RIDGE RD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7679
Practice Address - Country:US
Practice Address - Phone:201-746-6700
Practice Address - Fax:201-746-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty