Organization Active NPI

Eye Institute North, L.L.C.

  • Ophthalmology Physician
  • Oak Ridge, NJ
National Provider Identifier
1982840302
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA02243700 Issued in NJ
Legal business name
EYE INSTITUTE NORTH, L.L.C.
Practice address
5677 Berkshire Valley Rd
Oak Ridge, NJ 07438-9821
Phone
(973) 208-0600
Fax
(973) 208-0663
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Robert B Gollance, MD
Title
President
Phone
(973) 208-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA02243700 NJ Primary

Addresses

Primary practice location

5677 Berkshire Valley Rd
Oak Ridge, NJ 07438-9821

Mailing address

5677 Berkshire Valley Rd
Oak Ridge, NJ 07438-9821
Phone (973) 208-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1982840302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389821",
            "telephone_number": "973-208-0600",
            "fax_number": "973-208-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389821",
            "telephone_number": "973-208-0600",
            "fax_number": "973-208-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE NORTH, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "GOLLANCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-208-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02243700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.