Provider Demographics
NPI:1770629735
Name:EYE INSTITUTE EYEWEAR LP
Entity Type:Organization
Organization Name:EYE INSTITUTE EYEWEAR LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
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:973-751-2700
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:973-751-2700
Practice Address - Fax:973-450-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0557420001Medicare NSC