Provider Demographics
NPI:1265519268
Name:MCCLEERY, MAUREEN E (OD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:E
Last Name:MCCLEERY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-2769
Mailing Address - Country:US
Mailing Address - Phone:908-884-7285
Mailing Address - Fax:
Practice Address - Street 1:1501 ROUTE 22 W
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6507
Practice Address - Country:US
Practice Address - Phone:908-756-1325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ#27OA00543700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist