Provider Demographics
NPI:1982929311
Name:PERFECT VISION
Entity Type:Organization
Organization Name:PERFECT VISION
Other - Org Name:LOIS G. FIORE
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:FIORE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-272-3293
Mailing Address - Street 1:505 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1603
Mailing Address - Country:US
Mailing Address - Phone:908-272-3293
Mailing Address - Fax:908-276-5227
Practice Address - Street 1:505 BOULEVARD
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1603
Practice Address - Country:US
Practice Address - Phone:908-272-3293
Practice Address - Fax:908-276-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OM00078200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU05629Medicare UPIN