Organization
EYE HEALTH GROUP OF PRINCETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY S NISSINOFF OD (OWNER)
(732) 505-0533
Entity
Organization
Contact information
Practice address
205 QUAKER BRIDGE MALL, LAWRENCEVILLE, NJ 08648
(609) 799-2285
(609) 799-2566
Mailing address
1278 HOOPER AVE, TOMS RIVER, NJ 08753-3343
(732) 505-0533
(732) 505-6572
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0600364695
NJ
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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