Organization
EAST BRUNSWICK EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AVERGON OD (OWNER)
(732) 688-8225
Entity
Organization
Contact information
Practice address
620 CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-4098
(732) 668-8225
Mailing address
620 CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-4098
(732) 668-8225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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