FORT LEE VISION LLC NPI 1003144833

NPI Information

  • NPI: 1003144833
  • Provider Name: FORT LEE VISION LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: FORT LEE VISION
  • Address: 2151 LEMOINE AVE
    FORT LEE, NJ
    ZIP 07024
  • Phone: (201) 346-9000

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NPI Details

FORT LEE VISION LLC is an eyewear supplier in Fort Lee, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. FORT LEE VISION LLC NPI is 1003144833. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Lee Vision.

The provider's business location address is:

2151 LEMOINE AVE
FORT LEE, NJ
ZIP 07024-041
Phone: (201) 346-9000
Fax: (201) 346-9001

The provider's authorized official is Diane M. Kim .
The authorized official title is O.d./owner and has the following contact phone number (201) 346-9000.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier27OA00602800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1108537MEDICARE PIN
2V01808MEDICARE UPIN
30122874MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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