Healthcare Provider Details
I. General information
NPI: 1699687996
Provider Name (Legal Business Name): GARDEN STATE EYE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2177 OAK TREE RD STE 203
EDISON NJ
08820-1082
US
IV. Provider business mailing address
41 GUERNSEY LN
COLONIA NJ
07067-3103
US
V. Phone/Fax
- Phone: 973-464-8606
- Fax:
- Phone: 973-464-8606
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARBARA
SCHWARTZ
Title or Position: OWNER/ AUTHORIZED OFFICIAL
Credential: MD
Phone: 973-464-8606