East Brunswick Eye Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EAST BRUNSWICK EYE CENTER LLC

Practice address

620 Cranbury Rd
Suite 102
East Brunswick, NJ 08816-4098

Phone

(732) 668-8225

NPI assigned

Aug 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Avergon, OD

Title

Owner

Phone

(732) 688-8225

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• H. George Fisher, O.D.

  • Optometrist
  • Point Pleasant Boro, NJ
  • NPI 1770614687
  NPD (past)
• Eric Andrew Gershenbaum, M.D.

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1548227309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1811276975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-668-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-668-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "AVERGON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-688-8225",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ira Dyckman, MD
• East Brunswick Anesthesia Associates
• East Brunswick Dental & Specialty Group, LLC (Brighter Dental Care (East Brunswick))
• East Brunswick Dental Studio, LLC
• East Brunswick Endoscopy Center Inc
• East Brunswick Family and Implant Dentistry
• East Brunswick Family Practice Associates PA
• East Brunswick Foot and Ankle Center LLC
• East Brunswick Imaging Associates LLC
• East Brunswick Imaging Center LLC

• Ophthalmology Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.