Provider Demographics
NPI:1356731038
Name:FAMILY EYECARE OF ORANGE, P.C.
Entity type:Organization
Organization Name:FAMILY EYECARE OF ORANGE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-795-3937
Mailing Address - Street 1:501 BOSTON POST RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3567
Mailing Address - Country:US
Mailing Address - Phone:203-795-3937
Mailing Address - Fax:203-891-0737
Practice Address - Street 1:501 BOSTON POST RD
Practice Address - Street 2:SUITE 13
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3567
Practice Address - Country:US
Practice Address - Phone:203-795-3937
Practice Address - Fax:203-891-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2826152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty