Individual
DR. JONATHAN FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2090 STATE ROUTE 27, STE 105, NORTH BRUNSWICK, NJ 08902-1142
(732) 658-6765
(732) 568-0041
Mailing address
2090 STATE ROUTE 27, STE 105, NORTH BRUNSWICK, NJ 08902-1142
(732) 658-6765
(732) 568-0041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA 5536
NJ
152WC0802X
Corneal and Contact Management Optometrist
OA5536
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
OA 5536
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7650507
—
NJ
Enumeration date
07/04/2006
Last updated
05/12/2016
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