Provider Demographics
NPI:1295892347
Name:SATTY, ROBERT EDWARD (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDWARD
Last Name:SATTY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TILTON PL
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1719
Mailing Address - Country:US
Mailing Address - Phone:732-946-4770
Mailing Address - Fax:
Practice Address - Street 1:1809 CORLIES AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4801
Practice Address - Country:US
Practice Address - Phone:732-774-5566
Practice Address - Fax:732-774-8810
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist