Provider Demographics
NPI:1659573590
Name:SUSAN PRZETAK-CASE, O.D. P.A.
Entity Type:Organization
Organization Name:SUSAN PRZETAK-CASE, O.D. P.A.
Other - Org Name:THE FOCAL POINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRZETAK-CASE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-316-2626
Mailing Address - Street 1:440 ROUTE 202
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082
Mailing Address - Country:US
Mailing Address - Phone:973-316-2626
Mailing Address - Fax:973-316-3066
Practice Address - Street 1:440 ROUTE 202
Practice Address - Street 2:
Practice Address - City:TOWACO
Practice Address - State:NJ
Practice Address - Zip Code:07082-1288
Practice Address - Country:US
Practice Address - Phone:973-316-2626
Practice Address - Fax:973-316-3066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUSAN PRZETAK-CASE, O.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-04
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00485600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ627175Medicare ID - Type Unspecified
NJUO2742Medicare UPIN