Provider Demographics
NPI:1235217563
Name:DRS. SAVOY & SIEGEL LLC
Entity Type:Organization
Organization Name:DRS. SAVOY & SIEGEL LLC
Other - Org Name:JC EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSHNI
Authorized Official - Middle Name:J
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-333-2768
Mailing Address - Street 1:127 NEWARK AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-2811
Mailing Address - Country:US
Mailing Address - Phone:201-333-2768
Mailing Address - Fax:201-333-3145
Practice Address - Street 1:127 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:201-333-2768
Practice Address - Fax:201-333-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27O003827152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2687801Medicaid
NJ2687801Medicaid
NJ521606Medicare Oscar/Certification