Provider Demographics
NPI:1649213406
Name:ABADY, STEINER AND RAVINE EYE CARE O D P C
Entity Type:Organization
Organization Name:ABADY, STEINER AND RAVINE EYE CARE O D P C
Other - Org Name:EYEGROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABADY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-531-6300
Mailing Address - Street 1:780 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1014
Mailing Address - Country:US
Mailing Address - Phone:732-531-6300
Mailing Address - Fax:732-531-9149
Practice Address - Street 1:780 W PARK AVE
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1014
Practice Address - Country:US
Practice Address - Phone:732-531-6300
Practice Address - Fax:732-531-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1649213406OtherRAILROAD MEDICARE
NJ839354Medicare PIN