Provider Demographics
NPI:1578655189
Name:MORGANSTEIN EYE ASSOCIATES LLC
Entity Type:Organization
Organization Name:MORGANSTEIN EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGANSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-867-2942
Mailing Address - Street 1:5618 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1232
Mailing Address - Country:US
Mailing Address - Phone:201-867-2942
Mailing Address - Fax:201-867-1777
Practice Address - Street 1:5618 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1232
Practice Address - Country:US
Practice Address - Phone:201-867-2942
Practice Address - Fax:201-867-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 5282152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0189456Medicaid
NJ0189456Medicaid
NJ4321510001Medicare NSC
NJU46081Medicare UPIN