Provider Demographics
NPI:1104068675
Name:YUNIC VISION CARE LLC
Entity type:Organization
Organization Name:YUNIC VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KERLYNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-262-6313
Mailing Address - Street 1:465 ROUTE 70
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4049
Mailing Address - Country:US
Mailing Address - Phone:732-262-6313
Mailing Address - Fax:732-262-6314
Practice Address - Street 1:31 MILBURN DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-2256
Practice Address - Country:US
Practice Address - Phone:732-503-0694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ# 011825Medicare PIN
NJ101679Medicare PIN