Healthcare Provider Details

I. General information

NPI: 1164528980
Provider Name (Legal Business Name): PRINCETON EYE GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 01/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 NORTH HARRISON STREET SUITE 104
PRINCETON NJ
08540
US

IV. Provider business mailing address

419 NORTH HARRISON STREET SUITE 104
PRINCETON NJ
08540
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-9437
  • Fax: 609-688-9941
Mailing address:
  • Phone: 609-921-9437
  • Fax: 609-688-9941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN M FELTON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-921-9437