Healthcare Provider Details

I. General information

NPI: 1730338914
Provider Name (Legal Business Name): COMPREHENSIVE EYE CARE PROFESSIONALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 08/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SPRING ST UNIT 101
NEW BRUNSWICK NJ
08901-2276
US

IV. Provider business mailing address

73 SHERWOOD RD
SPRINGFIELD NJ
07081
US

V. Phone/Fax

Practice location:
  • Phone: 732-202-0393
  • Fax: 732-909-2147
Mailing address:
  • Phone: 732-202-0393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00614800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007285
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OM00068900
License Number StateNJ

VIII. Authorized Official

Name: DR. ELIOT MILSKY
Title or Position: PRACTITIONER
Credential: O.D.
Phone: 917-660-3091