Healthcare Provider Details

I. General information

NPI: 1366872392
Provider Name (Legal Business Name): EYE EXAM PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 INTERNATIONAL DR S
FLANDERS NJ
07836-4106
US

IV. Provider business mailing address

PO BOX 111
SUCCASUNNA NJ
07876-0111
US

V. Phone/Fax

Practice location:
  • Phone: 201-869-2020
  • Fax:
Mailing address:
  • Phone: 551-580-3512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YOLANDA CZERNIAWSKI
Title or Position: MEMBER
Credential: OD
Phone: 551-580-3512