Provider Demographics
NPI:1730216383
Name:THE EYE SPECIALISTS, PA
Entity type:Organization
Organization Name:THE EYE SPECIALISTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SALZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-231-1110
Mailing Address - Street 1:745 ROUTE 202/206
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1758
Mailing Address - Country:US
Mailing Address - Phone:908-231-1110
Mailing Address - Fax:908-526-4959
Practice Address - Street 1:745 ROUTE 202/206
Practice Address - Street 2:SUITE 301
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1758
Practice Address - Country:US
Practice Address - Phone:908-231-1110
Practice Address - Fax:908-526-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDD1092Medicare PIN
NJ014861Medicare PIN