Healthcare Provider Details

I. General information

NPI: 1114838984
Provider Name (Legal Business Name): WHARTON EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 STATE ROUTE 15 N
WHARTON NJ
07885-1222
US

IV. Provider business mailing address

7 SER DEL DR
PARSIPPANY NJ
07054-2235
US

V. Phone/Fax

Practice location:
  • Phone: 847-971-5717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PRAKSHA BUTALA
Title or Position: MEMBER/MANAGER
Credential: OD
Phone: 847-971-5717