Provider Demographics
NPI:1003122433
Name:MATAWAN VISION ASSOCIATES,PA
Entity Type:Organization
Organization Name:MATAWAN VISION ASSOCIATES,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-442-2027
Mailing Address - Street 1:349G MATAWAN RD
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3928
Mailing Address - Country:US
Mailing Address - Phone:732-583-2800
Mailing Address - Fax:732-583-2829
Practice Address - Street 1:349G MATAWAN RD
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3928
Practice Address - Country:US
Practice Address - Phone:732-583-2800
Practice Address - Fax:732-583-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 5196152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty