PROVISION FAMILY EYE CARE (NPI# 1407397011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407397011 |
| Entity Type | Organization |
| Organization Name | PROVISION FAMILY EYE CARE |
| Practice Address |
3452 Broidy Rd Mcguire Afb Trenton NJ 08641-5305 |
| Practice Telephone | 6097238957 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MONIKA WYSOCZANSKA (OWNER) |
| Authorized Official Telephone | 6097238957 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00611200 | NJ | Eye and Vision Services Providers |
| Street Address |
3452 BROIDY RD MCGUIRE AFB |
| City | TRENTON |
| State | NJ |
| Zip Code | 08641-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174947691 | Liberty Eye Care | Optometrist | 3452 Broidy Rd, Trenton, NJ 08641-5305 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952782328 | Angelina Anna Cerone | Optometrist | 3045 Busenbark Rd Ste B, Trenton, OH 45067-7611 | 2015-06-11 |
| 1174947691 | Liberty Eye Care | Optometrist | 3452 Broidy Rd, Trenton, NJ 08641-5305 | 2014-02-05 |
| 1992924682 | Doris Allison Sacks Wilner | Optometrist | 1901 North Olden Ave, Suite 27a, Trenton, NJ 08618 | 2007-04-24 |
| 1457495731 | Sloan Eyecare Center L.l.c | Optometrist | 614 E 9th St, Trenton, MO 64683-2211 | 2007-02-19 |
| 1720133440 | Pearle Vision Inc | Optometrist | 3420 West Rd, Trenton, MI 48183-2323 | 2007-01-24 |
| 1497849681 | James Alan Yates | Optometrist | 107 E 1st St, Trenton, TN 38382-1841 | 2006-10-03 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| 1497711956 | Michael A Newman | Optometrist | 860 Lower Ferry Road, Trenton, NJ 08628 | 2006-04-25 |
| 1184686883 | Susan Mithoff Quade | Optometrist | 2299 West Rd, Trenton, MI 48183-3615 | 2006-04-06 |
| 1083698146 | Alvan Leon Graham Jr. | Optometrist | 5377 Highway 136, Trenton, GA 30752-2900 | 2005-12-02 |
| Find all providers in TRENTON | ||||
Please comment or provide details below to improve the information on PROVISION FAMILY EYE CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.