Provider Demographics
NPI:1659448157
Name:LAMMENS, JOSEPH J (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:LAMMENS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HARRISON AVE
Mailing Address - Street 2:WALMART VISION CENTER
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032
Mailing Address - Country:US
Mailing Address - Phone:201-955-0354
Mailing Address - Fax:
Practice Address - Street 1:150 HARRISON AVE
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032
Practice Address - Country:US
Practice Address - Phone:201-955-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00606500152W00000X
NYTUV006689-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV05271Medicare UPIN