Provider Demographics
NPI:1275046088
Name:GREATER MORRISTOWN EYE CARE & WEAR, LLC
Entity Type:Organization
Organization Name:GREATER MORRISTOWN EYE CARE & WEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-450-4239
Mailing Address - Street 1:5 CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1400
Mailing Address - Country:US
Mailing Address - Phone:215-450-4239
Mailing Address - Fax:973-588-3941
Practice Address - Street 1:178 E HANOVER AVE STE 105
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2038
Practice Address - Country:US
Practice Address - Phone:215-450-4239
Practice Address - Fax:973-588-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty