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NPI Code Detail

MEDICARE: MRL VISION ASSOCIATES INC

MEDICARE: MRL VISION ASSOCIATES INC
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
1152W00000XOptometrist27T00093300NJ

General Provider Information

NPI Number : 1912010240
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRL VISION ASSOCIATES INC
Provider Business Mailing Address
First Line : 90 RTE 9
Second Line :
City : PINE BEACH
State : NJ
Zip : 08741
Country : US
Telephone Number : 732-736-1700
Fax Number : 732-736-1781
Provider Business Practice Location Address
First Line : 90 RTE 9
Second Line :
City : PINE BEACH
State : NJ
Zip : 08741
Country : US
Telephone Number : 732-736-1700
Fax Number : 732-736-1781
Authorized Official
Title or Position : OPTOMETRIC PHYSICIAN
Name : DR. MARC J ULLMAN
Credential : OD
Telephone Number : 732-736-1700
Provider Enumeration Date : 08/17/2006
Last Update Date : 06/05/2008

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Directions to “MRL VISION ASSOCIATES INC ” Practice Location

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