Healthcare Provider Details

I. General information

NPI: 1568375764
Provider Name (Legal Business Name): OPTICHECK EYE MDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3196 KENNEDY BLVD. 2ND FLOOR
UNION CITY NJ
07087
US

IV. Provider business mailing address

3196 KENNEDY BLVD. 2ND FLOOR
UNION CITY NJ
07087
US

V. Phone/Fax

Practice location:
  • Phone: 908-222-8700
  • Fax: 908-222-8721
Mailing address:
  • Phone: 908-222-8700
  • Fax: 908-222-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ATUL AGALEWALA
Title or Position: MEDICAD DIRECTOR
Credential: MD
Phone: 808-222-8700