Provider Demographics
NPI:1013048198
Name:MVT ASSOCIATES LLC
Entity type:Organization
Organization Name:MVT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:V
Authorized Official - Last Name:TIMKO-ALEO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-672-9417
Mailing Address - Street 1:192 FAIRFIELD LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1707
Mailing Address - Country:US
Mailing Address - Phone:908-672-9417
Mailing Address - Fax:
Practice Address - Street 1:400 COMMONS WAY
Practice Address - Street 2:SUITE 354
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2800
Practice Address - Country:US
Practice Address - Phone:908-725-0008
Practice Address - Fax:908-725-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty