Mobile Vision LLC
Ophthalmology in Freehold, NJ. Organization (NPI-2).
NPI number1003973595
StatusActive
Last updated in NPPESDec 10, 2007
Details
- NPI
- 1003973595
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Vision LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Dec 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 25MA07781000 | NJ | Yes |
| 152W00000X | Optometrist | 005273 | NJ |
Practice location
509 Stillwells Corner RoadSuite E5
Freehold, NJ 07728-2965
Phone 732-431-9333 · Fax 732-431-3312
Mailing address
509 Stillwells Corner RoadSuite E5
Freehold, NJ 07728-2965
Phone 732-431-9333 · Fax 732-431-3312
Authorized official
Eric Andrew Gershenbaum
LLC Member
7324319333
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