Healthcare Provider Details

I. General information

NPI: 1982161816
Provider Name (Legal Business Name): OPTICARE VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 ROUTE 1
EDISON NJ
08837-2418
US

IV. Provider business mailing address

1465 ROUTE 1
EDISON NJ
08837-2418
US

V. Phone/Fax

Practice location:
  • Phone: 973-538-5287
  • Fax:
Mailing address:
  • Phone: 203-919-2048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. OMAR MUNSHI
Title or Position: OWNER
Credential:
Phone: 203-919-2048