MEDICARE: EYEDOCS USA LLC

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

General Provider Information

NPI Number	:	1083327779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEDOCS USA LLC

Provider Business Mailing Address
First Line	:	718 UNION AVE
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1941
Country	:	US
Telephone Number	:	877-393-3621
Fax Number	:	908-540-4161

Provider Business Practice Location Address
First Line	:	718 UNION AVE
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1941
Country	:	US
Telephone Number	:	877-393-3621
Fax Number	:	908-540-4161

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MS. ZENITH YLANAN
Credential	:
Telephone Number	:	877-393-3621

Provider Enumeration Date	:	12/28/2022
Last Update Date	:	08/22/2024

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Directions to “EYEDOCS USA LLC ” Practice Location

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