Healthcare Provider Details

I. General information

NPI: 1235217563
Provider Name (Legal Business Name): DRS. SAVOY & SIEGEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 NEWARK AVE
JERSEY CITY NJ
07302
US

IV. Provider business mailing address

127 NEWARK AVE
JERSEY CITY NJ
07302-5862
US

V. Phone/Fax

Practice location:
  • Phone: 201-333-2768
  • Fax: 201-333-3145
Mailing address:
  • Phone: 201-333-2768
  • Fax: 201-333-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27O003827
License Number StateNJ

VIII. Authorized Official

Name: SANDRA OLIVEROS
Title or Position: MANAGER
Credential: OTHER
Phone: 201-706-2643