MEDICARE: HILKE AND WENG OPTOMETRIC PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	27OA00588500	NJ

General Provider Information

NPI Number	:	1063567923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILKE AND WENG OPTOMETRIC PHYSICIANS

Provider Business Mailing Address
First Line	:	32 NORTH AVE E
Second Line	:
City	:	CRANFORD
State	:	NJ
Zip	:	07016-2113
Country	:	US
Telephone Number	:	908-276-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 NORTH AVE E
Second Line	:
City	:	CRANFORD
State	:	NJ
Zip	:	07016-2113
Country	:	US
Telephone Number	:	908-276-1332
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	BRUCE WENG
Credential	:	O.D.
Telephone Number	:	908-276-1332

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/22/2020

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