Provider Demographics
NPI:1972738326
Name:MORE EYECARE INC.
Entity Type:Organization
Organization Name:MORE EYECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-313-3345
Mailing Address - Street 1:321 BROAD AVE
Mailing Address - Street 2:SUITE #120
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2346
Mailing Address - Country:US
Mailing Address - Phone:201-313-3345
Mailing Address - Fax:201-313-3441
Practice Address - Street 1:321 BROAD AVE
Practice Address - Street 2:SUITE #120
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2346
Practice Address - Country:US
Practice Address - Phone:201-313-3345
Practice Address - Fax:201-313-3441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA5752152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU99259Medicare UPIN