MEDICARE: OPTICARE SOLUTIONS

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	:	1245613413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICARE SOLUTIONS

Provider Business Mailing Address
First Line	:	2345 ROUTE 9
Second Line	:	BUILDING 1, UNIT 11
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-0965
Country	:	US
Telephone Number	:	718-384-0303
Fax Number	:	718-840-3770

Provider Business Practice Location Address
First Line	:	2345 ROUTE 9
Second Line	:	BUILDING 1, UNIT 11
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-0965
Country	:	US
Telephone Number	:	718-384-0303
Fax Number	:	718-840-3770

Authorized Official
Title or Position	:	PARTNER
Name	:	CHAIM LEIBOWITZ
Credential	:
Telephone Number	:	718-384-0303

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	07/07/2015

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Directions to “OPTICARE SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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