ESSEX EYE SURGERY & LASER CENTER NPI 1881640563

NPI Information

NPI: 1881640563
Provider Name: ESSEX EYE SURGERY & LASER CENTER
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
1460 BROAD ST
BLOOMFIELD, NJ
ZIP 07003
Phone: (973) 338-5566
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ESSEX EYE SURGERY & LASER CENTER is an ophthalmologic surgery clinic center in Bloomfield, NJ. ESSEX EYE SURGERY & LASER CENTER NPI is 1881640563. The provider is registered as an organization entity type.

The provider's business location address is:

1460 BROAD ST
BLOOMFIELD, NJ
ZIP 07003-014
Phone: (973) 338-5566
Fax: (973) 338-0753

The provider's authorized official is Louis Sheffler .
The authorized official title is Administrator and has the following contact phone number (973) 338-5566.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery			Yes

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
1	311031	OTHER	NEW JERSEY	HORIZON BC ID NUMBER
2	7411405	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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