Organization
JETEYE INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY S NISSINOFF OD (OWNER/OPERATOR)
(973) 785-8569
Entity
Organization
Contact information
Practice address
360 ROUTE 46 EAST, TOTOWA, NJ 07512-1841
(732) 505-0533
(732) 505-6572
Mailing address
1278 HOOPER AVENUE, TOMS RIVER, NJ 08753-3343
(973) 785-8055
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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