Provider Demographics
NPI:1669687968
Name:ALLIED VISION SERVICES OF PLAINSBORO
Entity Type:Organization
Organization Name:ALLIED VISION SERVICES OF PLAINSBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRISTOWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEIHEISER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-275-8989
Mailing Address - Street 1:10 SCHALKS CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1612
Mailing Address - Country:US
Mailing Address - Phone:609-275-8989
Mailing Address - Fax:609-275-9327
Practice Address - Street 1:10 SCHALKS CROSSING RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1612
Practice Address - Country:US
Practice Address - Phone:609-275-8989
Practice Address - Fax:609-275-9327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU22815Medicare UPIN
NJ565620Medicare PIN
NJ0641930001Medicare NSC