Organization
EXECUTIVE EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NIEMCZYK OD (OWNER)
(732) 297-7575
Entity
Organization
Contact information
Practice address
1 EXECUTIVE DR STE 201, MONMOUTH JUNCTION, NJ 08852-2446
(732) 297-7575
(732) 297-9493
Mailing address
1 EXECUTIVE DR STE 201, MONMOUTH JUNCTION, NJ 08852-2446
(732) 297-7575
(732) 297-9493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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