31D2257143 CLIA NUMBER - JACKSON EYE CARE, LLC

Laboratory Demographics

CLIA Number: 31D2257143

Facility Name: JACKSON EYE CARE, LLC

Facility Address:
22 OLD SHORT HILLS ROAD, SUITE 202
LIVINGSTON, NJ
ZIP 07039
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Facility Phone Number: 862 904-8349

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770186751

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 31D2257143
LAB Type Physician Office
Facility Name JACKSON EYE CARE, LLC
Street 22 OLD SHORT HILLS ROAD, SUITE 202
City LIVINGSTON
State NJ
ZIP 07039
Phone 862 904-8349
CertificateType 4
CertificateEffectiveDate 3/31/2024
CertificateExpirationDate 3/30/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024