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CLINTON FAMILY EYECARE CENTER LLC NPI 1346228285


NPI Information

NPI: 1346228285
Provider Name: CLINTON FAMILY EYECARE CENTER, LLC

Doing Business As: CLINTON FAMILY EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 31D2083334

Address:
186 CENTER ST
SUITE 170
CLINTON, NJ
ZIP 08809
Phone: (908) 735-5712
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CLINTON FAMILY EYECARE CENTER, LLC is an optometrist in Clinton, NJ. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. CLINTON FAMILY EYECARE CENTER, LLC NPI is 1346228285. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinton Family Eyecare.

The provider's business location address is:

186 CENTER ST
SUITE 170
CLINTON, NJ
ZIP 08809-385
Phone: (908) 735-5712
Fax: (908) 735-5715

The provider's authorized official is Jaime Blyskal Marcolini .
The authorized official title is Owner and has the following contact phone number (908) 735-5712.

The CLIA number assigned to this NPI record is 31D2083334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2005 and was last updated on 10/8/2008.


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
1152W00000XOptometristOA00573300NEW 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
18666202MEDICAIDNEW JERSEY
2U86445MEDICARE UPINNEW JERSEY
3106713MEDICARE PINNEW 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: 5/5/2024

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