Organization
EMERALD EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN P PHIBBS O.D. (DOCTOR/OWNER)
(732) 974-3937
Entity
Organization
Contact information
Practice address
701 SEA GIRT AVE, SEA GIRT, NJ 08750-2803
(732) 974-3937
(732) 974-6899
Mailing address
701 SEA GIRT AVE, SEA GIRT, NJ 08750-2803
(732) 974-3937
(732) 974-6899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00475600
NJ
156FX1800X
Optician
D-1630
NJ
156FX1800X
Optician
D-2019
NJ
332H00000X
Eyewear Supplier
Primary
4756
NJ
Other
Enumeration date
01/22/2007
Last updated
03/24/2014
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