Healthcare Provider Details
I. General information
NPI: 1003361775
Provider Name (Legal Business Name): VISION LOSS ALLIANCE OF NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2016
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 LITTLETON RD STE 150
MORRIS PLAINS NJ
07950-2938
US
IV. Provider business mailing address
201 LITTLETON RD STE 150
MORRIS PLAINS NJ
07950-2938
US
V. Phone/Fax
- Phone: 973-627-0055
- Fax: 973-627-1622
- Phone: 973-627-0055
- Fax: 973-627-1622
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0401X |
| Taxonomy | Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
F.
SCHULDT
Title or Position: CEO & PRESIDENT
Credential:
Phone: 973-627-0055