Provider Demographics
NPI:1689702078
Name:AUDLIN, KATHARINE J (OD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:J
Last Name:AUDLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 HARDWICK RD
Mailing Address - Street 2:
Mailing Address - City:HARDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-3107
Mailing Address - Country:US
Mailing Address - Phone:973-229-2525
Mailing Address - Fax:
Practice Address - Street 1:TOTAL EYECARE 681 ROUTE 15 SOUTH
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849
Practice Address - Country:US
Practice Address - Phone:973-663-0800
Practice Address - Fax:973-663-0103
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOS5689152WC0802X
NJOA5689152WP0200X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy