Organization
EYE HEALTH GROUP OF TR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY NISSINOFF MD (CEO)
(321) 537-9979
Entity
Organization
Contact information
Practice address
275 ROUTE 22 E, SPRINGFIELD, NJ 07081-3554
(321) 537-9979
Mailing address
275 ROUTE 22 E, SPRINGFIELD, NJ 07081-3554
(321) 537-9979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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