Organization
NJ EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIVAN PHILLIPS GENDY O.D (OPTOMETRIST)
(732) 387-1060
Entity
Organization
Contact information
Practice address
290 STATE ROUTE 18, VISION CENTER, EAST BRUNSWICK, NJ 08816-1995
(732) 387-1060
Mailing address
290 STATE ROUTE 18, EAST BRUNSWICK, NJ 08816-1995
(732) 387-1060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00621300
NJ
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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