Healthcare Provider Details

I. General information

NPI: 1699016485
Provider Name (Legal Business Name): OCVC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

752 ASBURY AVE
OCEAN CITY NJ
08226-3721
US

IV. Provider business mailing address

6 SAMARA CIR
NORTHFIELD NJ
08225-1081
US

V. Phone/Fax

Practice location:
  • Phone: 609-391-2121
  • Fax:
Mailing address:
  • Phone: 609-287-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. JUN C. HUANG
Title or Position: OWNER
Credential: M.D., PHD
Phone: 609-927-2020