# UNIVERSITY CHILDREN'S EYE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073612149
- **Authorized official:** DR. J MARK ENGEL (PRESIDENT)
- **Authorized official phone:** (732) 613-9191

## Contact information

- **Practice address:** 4 CORNWALL CT, EAST BRUNSWICK, NJ 08816-3331
- **Practice address phone:** (732) 613-9191
- **Practice address fax:** (732) 613-1139
- **Mailing address:** 4 CORNWALL CT, EAST BRUNSWICK, NJ 08816-3331
- **Mailing address phone:** (732) 613-9191
- **Mailing address fax:** (732) 613-1139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | — |
| 152WV0400X | Vision Therapy Optometrist | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 11/29/2010