Organization
GALLERY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D RENYO OD (OWNER)
(856) 327-5888
Entity
Organization
Contact information
Practice address
100 N HIGH STREET, MILLVILLE, NJ 08332
(856) 327-5888
Mailing address
100 N HIGH STREET, MILLVILLE, NJ 08332
(856) 327-5888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00259000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3339700
—
NJ
Enumeration date
10/13/2009
Last updated
10/14/2009
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