Custom Eyes LLC
NPI #1124185582 in East Brunswick, New Jersey
Provider Information
- NPI Number
- 1124185582
- Entity Type
- Organization
- Organization Name
- Custom Eyes LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 162 SUMMERHILL RD
- City
- East Brunswick
- State
- New Jersey
- ZIP Code
- 08816-4929
- Phone
- (732) 613-3937
Authorized Official
- Name
- MR. WAYNE L GONCHAR
- Title
- PRESIDENT
- Phone
- (732) 613-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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