Individual
DR. BRIAN R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
300 HIGHWAY 35 STE 200, EATONTOWN, NJ 07724-2216
(732) 222-7373
Mailing address
300 HIGHWAY 35 STE 200, EATONTOWN, NJ 07724-2216
(732) 222-7373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006772
NY
152W00000X
Optometrist
0618001505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VUT 006772
OPTOMETRY LICENSE
NY
Enumeration date
11/04/2005
Last updated
04/16/2021
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