Healthcare Provider Details

I. General information

NPI: 1619078433
Provider Name (Legal Business Name): PRINCETON EYE INSTITUTE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EWING STREET C-15
PRINCETON NJ
08540
US

IV. Provider business mailing address

601 EWING STREET C-15
PRINCETON NJ
08540
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-2300
  • Fax: 609-921-9137
Mailing address:
  • Phone: 609-921-2300
  • Fax: 609-921-9137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CYNTHIA DUNHAM
Title or Position: OWNER
Credential: MD
Phone: 609-921-2300