Provider Demographics
NPI:1609012848
Name:ABBATE FAMILY EYECARE, LLC
Entity Type:Organization
Organization Name:ABBATE FAMILY EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABBATE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:856-663-9494
Mailing Address - Street 1:2010 MARLTON PIKE W
Mailing Address - Street 2:STE. C
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2776
Mailing Address - Country:US
Mailing Address - Phone:856-663-9494
Mailing Address - Fax:856-662-5451
Practice Address - Street 1:2010 MARLTON PIKE W
Practice Address - Street 2:STE. C
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2776
Practice Address - Country:US
Practice Address - Phone:856-663-9494
Practice Address - Fax:856-662-5451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27TO00133800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty