Provider Demographics
NPI:1699815043
Name:JA VUE INC.
Entity Type:Organization
Organization Name:JA VUE INC.
Other - Org Name:PEARLE VISION FRANCHISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER OPERATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:NJ LIC OPTICIAN
Authorized Official - Phone:856-985-1300
Mailing Address - Street 1:163 MARLTON CROSSING, RT 73 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-985-1300
Mailing Address - Fax:856-985-1346
Practice Address - Street 1:163 MARLTON CROSSING, RT 73 SOUTH
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-985-1300
Practice Address - Fax:856-985-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTD1716305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service