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ADVANCED OPTHALMOLOGY CENTERPA NPI 1164596722


NPI Information

NPI: 1164596722
Provider Name: ADVANCED OPTHALMOLOGY CENTER,PA

Former Legal Business Name: MIDDLESEX OPTHALMOLOGY

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 31D2071255

Address:
1812 OAK TREE RD
EDISON, NJ
ZIP 08820
Phone: (732) 548-0700
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ADVANCED OPTHALMOLOGY CENTER,PA is an ophthalmology in Edison, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ADVANCED OPTHALMOLOGY CENTER,PA NPI is 1164596722. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Middlesex Opthalmology.

The provider's business location address is:

1812 OAK TREE RD
EDISON, NJ
ZIP 08820
Phone: (732) 548-0700
Fax: (732) 494-5059

The provider's authorized official is Barry M Schanzer .
The authorized official title is Md President and has the following contact phone number (732) 548-0700.

The CLIA number assigned to this NPI record is 31D2071255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 3/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13993080001MEDICARE NSCNEW JERSEY
2=========OTHERNEW JERSEYTAX ID NUMBER
3G35729MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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