Provider Demographics
NPI:1013218692
Name:EYES R US P C
Entity Type:Organization
Organization Name:EYES R US P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MASADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-339-3131
Mailing Address - Street 1:468 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3620
Mailing Address - Country:US
Mailing Address - Phone:201-339-3131
Mailing Address - Fax:201-339-3003
Practice Address - Street 1:468 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3620
Practice Address - Country:US
Practice Address - Phone:201-339-3131
Practice Address - Fax:201-339-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00615400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty