Healthcare Provider Details

I. General information

NPI: 1083536585
Provider Name (Legal Business Name): MW EYEWEAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 HALSEY ST
NEWARK NJ
07102-3746
US

IV. Provider business mailing address

243 HALSEY ST APT 5A
NEWARK NJ
07102-3750
US

V. Phone/Fax

Practice location:
  • Phone: 973-323-4949
  • Fax:
Mailing address:
  • Phone: 973-323-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MONICA WILBURN
Title or Position: LICENSED OPTICIAN
Credential: LDO
Phone: 862-237-6262