NPI 1003144833

Fort Lee Vision LLC

Organisation Eyewear Supplier Fort Lee, NJ

Practice location

Address: 2151 Lemoine Ave, Fort Lee, NJ 07024-6041
Phone: (201) 346-9000
Fax: (201) 346-9001

Authorised official

Name: Diane M. Kim
Title: O.D./Owner
Phone: (201) 346-9000

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 27OA00602800 (NJ)

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Registry record

NPI: 1003144833
Entity type: Organization
NPI issued: 7 Dec 2009
Record last updated: 11 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.