Provider Demographics
NPI:1174935597
Name:STUDIO 2020 VISION CARE
Entity type:Organization
Organization Name:STUDIO 2020 VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JASVINDER
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:PABLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:484-529-1934
Mailing Address - Street 1:32A ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2477
Mailing Address - Country:US
Mailing Address - Phone:484-529-1934
Mailing Address - Fax:
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1010
Practice Address - Country:US
Practice Address - Phone:732-449-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00642300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty