Provider Demographics
NPI:1689882326
Name:OPTOMETRIC ASSOCIATES
Entity Type:Organization
Organization Name:OPTOMETRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-685-0033
Mailing Address - Street 1:400 COMMONS WAY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2800
Mailing Address - Country:US
Mailing Address - Phone:908-685-0033
Mailing Address - Fax:908-722-3185
Practice Address - Street 1:400 COMMONS WAY
Practice Address - Street 2:SUITE 330
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2800
Practice Address - Country:US
Practice Address - Phone:908-685-0033
Practice Address - Fax:908-722-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601000680152W00000X
VA0601001000152W00000X
NJ27OA00342200152W00000X
NJ27OA00355200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty