Organization
THE EYE HEALTH GROUP, 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
238 STATE HWY 18, EAST BRUNSWICK, NJ 08816-7600
(732) 238-9200
(732) 238-5949
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
—
—
Other
Enumeration date
02/12/2015
Last updated
02/17/2015
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