Organization Name: | OMNI EYE SPECIALISTS P A |
NPI Number: | 1376593863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER J. QUINN (PRESIDENT) |
Mailing Address: | 485 Route 1 South Bldg A Iselin |
State: | NJ US |
Postal Code: | 08830 |
Phone Number: | 7327500400 |
Fax Number: | 7327501507 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |