Healthcare Provider Details

I. General information

NPI: 1740823863
Provider Name (Legal Business Name): OCULAR HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 W 29TH ST
NEW YORK NY
10001-1308
US

IV. Provider business mailing address

400 5TH AVE APT 37F
NEW YORK NY
10018-5946
US

V. Phone/Fax

Practice location:
  • Phone: 703-395-4411
  • Fax:
Mailing address:
  • Phone: 703-395-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JENNIFER TSAI
Title or Position: MEMBER
Credential: OD
Phone: 703-395-4411