Healthcare Provider Details

I. General information

NPI: 1750180865
Provider Name (Legal Business Name): EYELUXE EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 VALLEY RD
WAYNE NJ
07470-3526
US

IV. Provider business mailing address

590 VALLEY RD
WAYNE NJ
07470-3526
US

V. Phone/Fax

Practice location:
  • Phone: 973-339-3378
  • Fax: 973-339-3368
Mailing address:
  • Phone: 973-339-3378
  • Fax: 973-339-3368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MAYSOON MAJDI SALEM
Title or Position: OPTOMETRIST
Credential: O.D
Phone: 973-767-7194