Organization
EYEXAM GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINAS JOHN NICHOLAS O.D. (VICE PRESIDENT)
(201) 262-7100
Entity
Organization
Contact information
Practice address
340 N RTE 17, PARAMUS, NJ 07652-2906
(201) 262-7100
(201) 262-4318
Mailing address
340 N RTE 17, PARAMUS, NJ 07652-2906
(201) 262-7100
(201) 262-4318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00386400
NJ
Other
Enumeration date
10/19/2006
Last updated
12/17/2018
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