Provider Demographics
NPI:1376607077
Name:GURIAN HEARING & VISION CENTER
Entity Type:Organization
Organization Name:GURIAN HEARING & VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:I
Authorized Official - Last Name:GURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:973-226-3333
Mailing Address - Street 1:775 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-6701
Mailing Address - Country:US
Mailing Address - Phone:973-226-3333
Mailing Address - Fax:973-226-3033
Practice Address - Street 1:775 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6701
Practice Address - Country:US
Practice Address - Phone:973-226-3333
Practice Address - Fax:973-226-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
31TD00130600156FX1800X
NJ41YA00022000231H00000X
NJ25MG00001100237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty