Provider Demographics
NPI:1497969729
Name:HUNTER, GREGORY JOHN (OPHTHALMIC DISPENSER)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOHN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:OPHTHALMIC DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07826-4400
Mailing Address - Country:US
Mailing Address - Phone:973-702-2340
Mailing Address - Fax:973-702-2340
Practice Address - Street 1:156 STATE HIGHWAY 10 W
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936
Practice Address - Country:US
Practice Address - Phone:973-560-4140
Practice Address - Fax:973-884-3566
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00100800156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician