Provider Demographics
NPI:1053690032
Name:SALZANO EYE CENTER, LLC
Entity Type:Organization
Organization Name:SALZANO EYE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:SALZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-226-0559
Mailing Address - Street 1:195 FAIRFIELD AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-6419
Mailing Address - Country:US
Mailing Address - Phone:973-226-0559
Mailing Address - Fax:973-226-6199
Practice Address - Street 1:195 FAIRFIELD AVE STE 2B
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6419
Practice Address - Country:US
Practice Address - Phone:973-226-0559
Practice Address - Fax:973-226-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08073000207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty