Provider Demographics
NPI:1558531822
Name:KILROE, JANET (OPTICIAN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:KILROE
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1371
Mailing Address - Country:US
Mailing Address - Phone:201-848-1184
Mailing Address - Fax:201-848-1184
Practice Address - Street 1:801 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1371
Practice Address - Country:US
Practice Address - Phone:201-848-1184
Practice Address - Fax:201-848-1184
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ1804156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician