Provider Demographics
NPI:1659307858
Name:EYE SURGEONS AND PHYSICIANS, PA
Entity Type:Organization
Organization Name:EYE SURGEONS AND PHYSICIANS, PA
Other - Org Name:EYE INSTITUTE OF ESSEX
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:EICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-751-6060
Mailing Address - Street 1:5 FRANKLIN AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3532
Mailing Address - Country:US
Mailing Address - Phone:973-751-6060
Mailing Address - Fax:973-450-1464
Practice Address - Street 1:5 FRANKLIN AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3532
Practice Address - Country:US
Practice Address - Phone:973-751-6060
Practice Address - Fax:973-450-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3897702Medicaid
NJ471080Medicare UPIN