Provider Demographics
NPI:1093759383
Name:CURTIN, EILEEN M (OD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:M
Last Name:CURTIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2036
Mailing Address - Country:US
Mailing Address - Phone:973-962-0040
Mailing Address - Fax:973-962-6629
Practice Address - Street 1:130 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-2036
Practice Address - Country:US
Practice Address - Phone:973-962-0040
Practice Address - Fax:973-962-6629
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5216152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3934560001Medicare NSC
NJ157198Medicare UPIN