| The Eye Site | |
|
34 Lanes Mill Rd Dorado Plaza Brick NJ 08724-7056 | |
| (732) 202-0911 | |
| (732) 202-0920 |
| Full Name | The Eye Site |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 34 Lanes Mill Rd, Brick, New Jersey |
| Authorized Official Name and Position | Gary Alan Heubel (OWNER/OPTOMETRIST) |
| Authorized Official Contact | 7322020911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Site 34 Lanes Mill Rd Dorado Plaza Brick NJ 08724-7056 Ph: (732) 202-0911 | The Eye Site 34 Lanes Mill Rd Dorado Plaza Brick NJ 08724-7056 Ph: (732) 202-0911 |
| NPI Number | 1336422716 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336422716 | NPI | - | NPPES |
| 602125 | Other | NJ | PTAN |
| 1867300 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27OA00397500 (New Jersey) | Primary |
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