| Clinton Family Eyecare Center, Llc | |
|
186 Center St, Suite 170, Clinton, NJ 08809-1385 | |
| (908) 735-5712 | |
| (908) 735-5715 |
| Full Name | Clinton Family Eyecare Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 186 Center St, Clinton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346228285 | NPI | - | NPPES |
| 8666202 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OA00573300 (New Jersey) | Primary |
| Provider Name | Jaime Marcolini-blyskal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790875946 PECOS PAC ID: 8325075922 Enrollment ID: I20050726000415 |
| Provider Name | William R Marcolini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215928320 PECOS PAC ID: 7315975901 Enrollment ID: I20050804000041 |
| Provider Name | John Hnatyko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942411004 PECOS PAC ID: 1557441961 Enrollment ID: I20080110000166 |
| Provider Name | Susan Lee Franson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508901240 PECOS PAC ID: 3375682107 Enrollment ID: I20091208000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Family Eyecare Center, Llc 186 Center St, Suite 170, Clinton, NJ 08809-1385 Ph: (908) 735-5712 | Clinton Family Eyecare Center, Llc 186 Center St, Suite 170, Clinton, NJ 08809-1385 Ph: (908) 735-5712 |
Jaime Blyskal Marcolini, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 186 Center St Ste 170, Clinton, NJ 08809 Phone: 908-735-5712 |