Provider Demographics
NPI:1720232820
Name:EYE ASSOCIATES OF CENTRAL NEW JERSEY
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF CENTRAL NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:DOROTHY
Authorized Official - Last Name:ANDERSON-CORPENING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-398-1111
Mailing Address - Street 1:215A N CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4247
Mailing Address - Country:US
Mailing Address - Phone:732-398-1111
Mailing Address - Fax:732-398-1136
Practice Address - Street 1:215 A NORTH CENTER DR.
Practice Address - Street 2:
Practice Address - City:NORH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4247
Practice Address - Country:US
Practice Address - Phone:732-398-1111
Practice Address - Fax:732-398-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG36487Medicare UPIN