Organization Name: | ROBERT B BREEDEN OD RONALD J MINSKY OD PA |
NPI Number: | 1104989797 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD J MINSKY (OWNER) |
Mailing Address: | 255 Highway 35 Eatontown |
State: | NJ US |
Postal Code: | 077242169 |
Phone Number: | 7323896512 |
Fax Number: | 7323890585 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 27OA003420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |