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NPI Code Detail

MEDICARE: IB VISION

MEDICARE: IB VISION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist27OA00597900NJ

General Provider Information

NPI Number : 1104836428
Entity Type Code : Organization
Provider Name (Legal Business Name) : IB VISION
Provider Business Mailing Address
First Line : 515 N WOOD AVE
Second Line : SUITE 202
City : LINDEN
State : NJ
Zip : 07036-4173
Country : US
Telephone Number : 908-486-3333
Fax Number : 908-486-7475
Provider Business Practice Location Address
First Line : 515 N WOOD AVE
Second Line : SUITE 202
City : LINDEN
State : NJ
Zip : 07036-4173
Country : US
Telephone Number : 908-486-3333
Fax Number : 908-486-7475
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. MEGGAN CLAIR HEINZ
Credential : O.D.
Telephone Number : 908-486-3333
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/21/2022

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Directions to “IB VISION ” Practice Location

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