Provider Demographics
NPI:1063249894
Name:TRINITY EYECARE LLC
Entity type:Organization
Organization Name:TRINITY EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-868-7320
Mailing Address - Street 1:1501 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6507
Mailing Address - Country:US
Mailing Address - Phone:908-756-1325
Mailing Address - Fax:908-756-1349
Practice Address - Street 1:1501 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6507
Practice Address - Country:US
Practice Address - Phone:908-756-1325
Practice Address - Fax:908-756-1349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty