| Organization Name: | HUDSON EYE PHYSICIANS & SURGEONS, LLC |
| NPI Number: | 1154720126 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM CONSTAD (MEMBER) |
| Mailing Address: | 288 Millburn Ave Millburn |
| State: | NJ US |
| Postal Code: | 070411622 |
| Phone Number: | 9739129773 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2014 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |