Provider Demographics
NPI:1295896504
Name:CONTI EYE CARE, P.A.
Entity type:Organization
Organization Name:CONTI EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:CONTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-595-1322
Mailing Address - Street 1:3322 ROUTE 22 WEST
Mailing Address - Street 2:BLDG 5 UNIT 511
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-4400
Mailing Address - Country:US
Mailing Address - Phone:908-595-1322
Mailing Address - Fax:
Practice Address - Street 1:3322 ROUTE 22 WEST
Practice Address - Street 2:BLDG5 UNIT 511
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-4400
Practice Address - Country:US
Practice Address - Phone:908-595-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA67689207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ183935Medicare PIN