Organization
ADVANCED EYE PROFESSIONALS LLC
Active
Other names
Brighton Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO PENEIRAS (PRESIDENT)
(732) 792-9800
Entity
Organization
Contact information
Practice address
225 GORDONS CORNER RD, SUITE 1C, MANALAPAN, NJ 07726-3356
(732) 792-9800
Mailing address
225 GORDONS CORNER RD, SUITE 1C, MANALAPAN, NJ 07726-3356
(732) 792-9800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270M00031600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039686
MEDICARE ID - TYPE UNSPECIFIED
NJ
05
—
8358401
—
NJ
Enumeration date
06/30/2008
Last updated
11/14/2012
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