Provider Demographics
NPI:1184778128
Name:THE EYECARE CENTER LLC
Entity type:Organization
Organization Name:THE EYECARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:CINDRARIO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:201-493-8817
Mailing Address - Street 1:1462 VAN HOUTEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2426
Mailing Address - Country:US
Mailing Address - Phone:201-493-8817
Mailing Address - Fax:201-493-8118
Practice Address - Street 1:286 MARKET ST
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2014
Practice Address - Country:US
Practice Address - Phone:201-493-8817
Practice Address - Fax:201-493-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00518300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ16649OtherAVESIS
NJ144487527OtherVISION SERVICE PLAN
NJ2K2992OtherHEALTHNET
NJP2543080OtherOXFORD
NJ2K2992OtherHEALTHNET