Healthcare Provider Details

I. General information

NPI: 1275595241
Provider Name (Legal Business Name): CENTER FOR VISUAL REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 10TH AVE
BELMAR NJ
07719-2341
US

IV. Provider business mailing address

613 10TH AVE
BELMAR NJ
07719-2341
US

V. Phone/Fax

Practice location:
  • Phone: 732-681-2320
  • Fax: 732-280-2320
Mailing address:
  • Phone: 732-681-2320
  • Fax: 732-280-2320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NORMAN PHIL EINHORN
Title or Position: DIRECTOR
Credential: O.D.
Phone: 732-681-2320