Provider Demographics
NPI:1407980402
Name:DR. KEVIN D. GEIGER AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. KEVIN D. GEIGER AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-442-2027
Mailing Address - Street 1:94 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4414
Mailing Address - Country:US
Mailing Address - Phone:732-442-2027
Mailing Address - Fax:732-442-7076
Practice Address - Street 1:94 SMITH ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4414
Practice Address - Country:US
Practice Address - Phone:732-442-2027
Practice Address - Fax:732-442-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA5196152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6060310001Medicare NSC
NJU38954Medicare UPIN
NJ11323Medicare PIN