Provider Demographics
NPI:1245679828
Name:MOY, MEI WEN (OD)
Entity type:Individual
Prefix:DR
First Name:MEI
Middle Name:WEN
Last Name:MOY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:54 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1427
Mailing Address - Country:US
Mailing Address - Phone:512-299-5907
Mailing Address - Fax:
Practice Address - Street 1:21 GOLDSBOROUGH DR
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5069
Practice Address - Country:US
Practice Address - Phone:201-354-2350
Practice Address - Fax:551-800-7778
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00683600152W00000X
NY008091152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist