Provider Demographics
NPI:1750865440
Name:2020 EYECARE, PA
Entity Type:Organization
Organization Name:2020 EYECARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ONCUL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-953-6548
Mailing Address - Street 1:36 TOTOWA RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3109
Mailing Address - Country:US
Mailing Address - Phone:973-953-6548
Mailing Address - Fax:
Practice Address - Street 1:450 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2562
Practice Address - Country:US
Practice Address - Phone:973-370-5108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service