CUSTOM EYES LLC NPI 1124185582

NPI Information

  • NPI: 1124185582
  • Provider Name: CUSTOM EYES LLC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 162 SUMMERHILL RD
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Phone: (732) 613-3937

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NPI Details

CUSTOM EYES LLC is an optician technician technologist in East Brunswick, NJ. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. CUSTOM EYES LLC NPI is 1124185582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

162 SUMMERHILL RD
EAST BRUNSWICK, NJ
ZIP 08816-929
Phone: (732) 613-3937
Fax: (732) 613-3969

The provider's authorized official is Wayne L Gonchar .
The authorized official title is President and has the following contact phone number (732) 613-3937.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 3/18/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician31TD00135400NEW JERSEYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14323870001MEDICARE NSCNEW 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: 11/21/2025

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