Provider Demographics
NPI:1487178703
Name:FIELD OF VISION SERVICES, LLC
Entity Type:Organization
Organization Name:FIELD OF VISION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-930-3227
Mailing Address - Street 1:235 DAKOTA ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2710
Mailing Address - Country:US
Mailing Address - Phone:973-930-3227
Mailing Address - Fax:973-341-4204
Practice Address - Street 1:235 DAKOTA ST. UNIT 1
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503
Practice Address - Country:US
Practice Address - Phone:973-930-3227
Practice Address - Fax:973-341-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health