Organization
OPTOMETRIC PHYSICIANS OF HAZLET LLC
Active
Other names
EyesFirst Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD H GERSHENOW O.D. (OWNER)
(732) 671-7300
Entity
Organization
Contact information
Practice address
3013 STATE ROUTE 35, HAZLET PLAZA, HAZLET, NJ 07730-1526
(732) 739-4000
(732) 739-4002
Mailing address
3013 STATE ROUTE 35, HAZLET PLAZA, HAZLET, NJ 07730-1526
(732) 739-4000
(732) 739-4002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00300100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121402
—
NJ
Enumeration date
08/07/2006
Last updated
07/02/2009
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