Provider Demographics
NPI:1013686435
Name:ASSOCIATED VISION CARE, LLC
Entity Type:Organization
Organization Name:ASSOCIATED VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD - OPTOMETRIST
Authorized Official - Phone:516-665-1883
Mailing Address - Street 1:3319 NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-2323
Mailing Address - Country:US
Mailing Address - Phone:516-665-1883
Mailing Address - Fax:
Practice Address - Street 1:3319 NEW JERSEY AVE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260-2323
Practice Address - Country:US
Practice Address - Phone:516-665-1883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty