Provider Demographics
NPI:1619101094
Name:FAMILY EYECARE OF WHARTON, P.A.
Entity Type:Organization
Organization Name:FAMILY EYECARE OF WHARTON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-659-2048
Mailing Address - Street 1:315 STATE ROUTE 15 N
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-1222
Mailing Address - Country:US
Mailing Address - Phone:973-659-2048
Mailing Address - Fax:973-659-2012
Practice Address - Street 1:315 STATE ROUTE 15 N
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-1222
Practice Address - Country:US
Practice Address - Phone:973-659-2048
Practice Address - Fax:973-659-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00488600152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty