Provider Demographics
NPI:1568674497
Name:CONTACT LENS AND VISION CONSULTANTS, P.A
Entity Type:Organization
Organization Name:CONTACT LENS AND VISION CONSULTANTS, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GELB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-855-7950
Mailing Address - Street 1:161WOODBRIDGE CENTER DR
Mailing Address - Street 2:STE A
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095
Mailing Address - Country:US
Mailing Address - Phone:732-855-7950
Mailing Address - Fax:732-726-1735
Practice Address - Street 1:161 WOODBRIDGE CENTER DR
Practice Address - Street 2:STE A
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095
Practice Address - Country:US
Practice Address - Phone:732-855-7950
Practice Address - Fax:732-726-1735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty