Provider Demographics
NPI:1720228729
Name:TOTAL FAMILY VISION LLC
Entity Type:Organization
Organization Name:TOTAL FAMILY VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLIVO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-702-7300
Mailing Address - Street 1:1636 ROUTE 38
Mailing Address - Street 2:UNIT 48
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-2900
Mailing Address - Country:US
Mailing Address - Phone:609-702-7300
Mailing Address - Fax:609-702-7385
Practice Address - Street 1:1636 ROUTE 38
Practice Address - Street 2:UNIT 48
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2900
Practice Address - Country:US
Practice Address - Phone:609-702-7300
Practice Address - Fax:609-702-7385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA05517152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty