Provider Demographics
NPI:1346765518
Name:FOX, ALEXA NICOLE (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:NICOLE
Last Name:FOX
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PASSAIC AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-3563
Mailing Address - Country:US
Mailing Address - Phone:973-439-3937
Mailing Address - Fax:973-439-3944
Practice Address - Street 1:100 PASSAIC AVE STE 200
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-3563
Practice Address - Country:US
Practice Address - Phone:973-439-3937
Practice Address - Fax:973-439-3944
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00675400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist