Provider Demographics
NPI:1972794378
Name:CEE OPTICAL CENTRE
Entity type:Organization
Organization Name:CEE OPTICAL CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LANCIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-665-8040
Mailing Address - Street 1:7703 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3374
Mailing Address - Country:US
Mailing Address - Phone:856-665-8040
Mailing Address - Fax:856-665-5055
Practice Address - Street 1:7703 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-3374
Practice Address - Country:US
Practice Address - Phone:856-665-8040
Practice Address - Fax:856-665-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00191000332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0687230001Medicare NSC