Provider Demographics
NPI:1093958407
Name:ALTIMA EYE ASSOCIATES
Entity Type:Organization
Organization Name:ALTIMA EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCCIERO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-379-5200
Mailing Address - Street 1:100 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1427
Mailing Address - Country:US
Mailing Address - Phone:973-379-5200
Mailing Address - Fax:
Practice Address - Street 1:100 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1427
Practice Address - Country:US
Practice Address - Phone:973-379-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty