Organization
GARY A, HEUBEL, O.D.,P.A.
Active
Other names
The EYE SITE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN HEUBEL O.D. (OWNER/OPTOMETRIST)
(732) 202-0911
Entity
Organization
Contact information
Practice address
34 LANES MILL RD, DORADO PLAZA, BRICK, NJ 08724-7056
(732) 202-0911
(732) 202-0920
Mailing address
34 LANES MILL RD, DORADO PLAZA, BRICK, NJ 08724-7056
(732) 202-0911
(732) 202-0920
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
27OA00397500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1867300
—
NJ
01
—
602125
PTAN
NJ
Enumeration date
09/22/2011
Last updated
08/14/2012
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