Provider Demographics
NPI:1598590697
Name:HOLISTIC EYECARE & WELLNESS
Entity type:Organization
Organization Name:HOLISTIC EYECARE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-993-7483
Mailing Address - Street 1:3 ANGEL PL
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4122
Mailing Address - Country:US
Mailing Address - Phone:201-993-7483
Mailing Address - Fax:
Practice Address - Street 1:400 NJ-38
Practice Address - Street 2:MOORESTOWN
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:201-993-7483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty