Provider Demographics
NPI:1285327775
Name:EYECARE FIRST LLC
Entity type:Organization
Organization Name:EYECARE FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-576-2546
Mailing Address - Street 1:455 LIVINGSTON ST STE 6
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1360
Mailing Address - Country:US
Mailing Address - Phone:551-202-2131
Mailing Address - Fax:551-202-2755
Practice Address - Street 1:445 LIVINGSTON ST UNIT 6
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-1311
Practice Address - Country:US
Practice Address - Phone:609-576-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty