Provider Demographics
NPI:1861405268
Name:VISUAL EYES, INC.
Entity type:Organization
Organization Name:VISUAL EYES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGILL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-223-2800
Mailing Address - Street 1:2176 HIGHWAY 35
Mailing Address - Street 2:SEA GIRT MALL
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1008
Mailing Address - Country:US
Mailing Address - Phone:732-223-2800
Mailing Address - Fax:732-223-5121
Practice Address - Street 1:2176 HIGHWAY 35
Practice Address - Street 2:SEA GIRT MALL
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1008
Practice Address - Country:US
Practice Address - Phone:732-223-2800
Practice Address - Fax:732-223-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA 00427800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNJ4278OtherEYEMED
NJ01079OtherSPECTERA
NJP823131OtherOXFORD
NJ40564OtherAETNA
NJP823131OtherOXFORD
NJ=========OtherQUALCARE
NJT77719Medicare UPIN