Organization
ESSEX EYE SURGERY & LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SHEFFLER (ADMINISTRATOR)
(973) 338-5566
Entity
Organization
Contact information
Practice address
1460 BROAD ST, BLOOMFIELD, NJ 07003-3014
(973) 338-5566
(973) 338-0753
Mailing address
1460 BROAD ST, BLOOMFIELD, NJ 07003-3014
(973) 338-5566
(973) 338-0753
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311031
HORIZON BC ID NUMBER
NJ
05
—
7411405
—
NJ
Enumeration date
05/25/2006
Last updated
08/22/2020
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