Provider Demographics
NPI:1609082957
Name:AMBOY EYE CENTER
Entity Type:Organization
Organization Name:AMBOY EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
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:2007-05-15
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier