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General NPI Number Information
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NPI Number | 1720156177
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Entity Type | Individual
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Provider Name | MICHAEL MCALEESE O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 2380 ROUTE 9 # C-6
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City | HOWELL
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State | NJ
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Zip | 07731-4018
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Country | US
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Telephone | 732-984-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 51 BREWSTER CIR
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3612
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Country | US
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Telephone | 732-266-0053
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Fax | 732-316-1437
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00488800
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License Number State | NJ
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