Healthcare Provider Details

I. General information

NPI: 1013242064
Provider Name (Legal Business Name): HOANG VISION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 NORTH AVE W
CRANFORD NJ
07016-2114
US

IV. Provider business mailing address

23 NORTH AVE W
CRANFORD NJ
07016-2114
US

V. Phone/Fax

Practice location:
  • Phone: 908-276-0200
  • Fax:
Mailing address:
  • Phone: 908-276-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00604500
License Number StateNJ

VIII. Authorized Official

Name: DR. CHRISTY T HOANG
Title or Position: OWNER
Credential: O.D
Phone: 908-276-0200