Provider Demographics
NPI:1982880076
Name:ALLIED VISION SERVICES LLC
Entity type:Organization
Organization Name:ALLIED VISION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOBIAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:609-448-4872
Mailing Address - Street 1:1004 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3118
Mailing Address - Country:US
Mailing Address - Phone:609-448-4872
Mailing Address - Fax:609-448-4873
Practice Address - Street 1:1004 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3118
Practice Address - Country:US
Practice Address - Phone:609-448-4872
Practice Address - Fax:609-448-4873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5174600001Medicare NSC
NJ141316Medicare PIN