Provider Demographics
NPI:1902198377
Name:ESACK, NAZREEN A (OD)
Entity Type:Individual
Prefix:
First Name:NAZREEN
Middle Name:A
Last Name:ESACK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9365 ATLANTIC BLVD
Mailing Address - Street 2:STE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-8218
Mailing Address - Country:US
Mailing Address - Phone:904-721-0704
Mailing Address - Fax:904-721-0706
Practice Address - Street 1:485 ROUTE 1 S
Practice Address - Street 2:BUILDING A
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-3009
Practice Address - Country:US
Practice Address - Phone:732-750-0400
Practice Address - Fax:732-602-0749
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2021-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ27OA00627600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist