Provider Demographics
NPI:1710913439
Name:EICHLER SURGEYE CENTER
Entity Type:Organization
Organization Name:EICHLER SURGEYE CENTER
Other - Org Name:EYE INSTITUTE OF ESSEX SURGEYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BELTRAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CRNO
Authorized Official - Phone:973-751-6060
Mailing Address - Street 1:50 NEWARK AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1185
Mailing Address - Country:US
Mailing Address - Phone:973-751-6060
Mailing Address - Fax:973-450-1464
Practice Address - Street 1:50 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1185
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:2006-06-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJEI305449Medicare ID - Type UnspecifiedMEDICARE NUMBER