Provider Demographics
NPI:1770751505
Name:ESTHER HUANG OD PA
Entity type:Organization
Organization Name:ESTHER HUANG OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-541-9494
Mailing Address - Street 1:106 GRAND AVE STE 470
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3596
Mailing Address - Country:US
Mailing Address - Phone:201-541-9494
Mailing Address - Fax:201-871-7382
Practice Address - Street 1:106 GRAND AVE STE 470
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3596
Practice Address - Country:US
Practice Address - Phone:201-541-9494
Practice Address - Fax:201-871-7382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00575700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ094429Medicare PIN