MEDICARE: EYES ON 9 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1376167767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYES ON 9 INC

Provider Business Mailing Address
First Line	:	6951 ROUTE 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3766
Country	:	US
Telephone Number	:	347-392-2673
Fax Number	:

Provider Business Practice Location Address
First Line	:	6951 ROUTE 9
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3766
Country	:	US
Telephone Number	:	347-392-2673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAIM COHEN
Credential	:
Telephone Number	:	347-392-2673

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	06/02/2020

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Directions to “EYES ON 9 INC ” Practice Location

Language	Start Address	Practice Location

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