Fort Lee Vision

LBN: Fort Lee Vision Llc
Fort Lee Vision is an health care organization with primary practice located at 2151 Lemoine Ave , Fort Lee NJ 07024-6041. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Fort Lee Vision Llc can be contacted via phone (201) 346-9000, or through Kim, Diane M. via phone (201) 346-9000.

Contact Information

Primary practice address
2151 Lemoine Ave Fort Lee NJ 07024-6041
Phone: (201) 346-9000
Fax: (201) 346-9001
Website:
Map and Directions
Authorized official contact:
Name: Kim, Diane M. Doctor of Optometry (OD)
Phone: (201) 346-9000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 27OA00602800 New Jersey

Profile Details

NPI number 1003144833
LBN Legal business name Fort Lee Vision Llc
DBA Doing business as Fort Lee Vision
Authorized official Kim, Diane M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2009
Last updated Dec 11th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003144833 NPPES
New Jersey MEDICAID 0122874

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