Healthcare Provider Details

I. General information

NPI: 1932016649
Provider Name (Legal Business Name): VIZUAL EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 S FINLEY AVE
BASKING RIDGE NJ
07920-1446
US

IV. Provider business mailing address

21 S FINLEY AVE
BASKING RIDGE NJ
07920-1446
US

V. Phone/Fax

Practice location:
  • Phone: 908-766-0939
  • Fax: 908-766-3301
Mailing address:
  • Phone: 908-766-0939
  • Fax: 908-766-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. FAYAZ VIZAM
Title or Position: OWNER
Credential: OD
Phone: 732-221-7962