Healthcare Provider Details

I. General information

NPI: 1841156056
Provider Name (Legal Business Name): WILLOW & VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 WILLOWBROOK MALL
WAYNE NJ
07470-6905
US

IV. Provider business mailing address

1450 WILLOWBROOK MALL
WAYNE NJ
07470-6905
US

V. Phone/Fax

Practice location:
  • Phone: 973-785-3525
  • Fax: 973-785-4322
Mailing address:
  • Phone: 973-785-3525
  • Fax: 973-785-4322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KANAN SHARMA
Title or Position: OD/OWNER
Credential: OD
Phone: 973-785-3525