Provider Demographics
NPI:1811162159
Name:HUDSON EYECARE ASSOCIATES PA
Entity type:Organization
Organization Name:HUDSON EYECARE ASSOCIATES PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-659-2775
Mailing Address - Street 1:368 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2828
Mailing Address - Country:US
Mailing Address - Phone:201-659-2775
Mailing Address - Fax:201-653-7319
Practice Address - Street 1:368 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2828
Practice Address - Country:US
Practice Address - Phone:201-659-2775
Practice Address - Fax:201-653-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00506700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0569500Medicaid
NJ0569500Medicaid
NJ088233Medicare PIN