MEDICARE: GURIAN HEARING & VISION CENTER

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	156FX1800X	Optician	31TD00130600
2	237700000X	Hearing Instrument Specialist	25MG00001100	NJ
3	231H00000X	Audiologist	41YA00022000	NJ

General Provider Information

NPI Number	:	1376607077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GURIAN HEARING & VISION CENTER

Provider Business Mailing Address
First Line	:	775 BLOOMFIELD AVE
Second Line	:
City	:	WEST CALDWELL
State	:	NJ
Zip	:	07006-6701
Country	:	US
Telephone Number	:	973-226-3333
Fax Number	:	973-226-3033

Provider Business Practice Location Address
First Line	:	775 BLOOMFIELD AVE
Second Line	:
City	:	WEST CALDWELL
State	:	NJ
Zip	:	07006-6701
Country	:	US
Telephone Number	:	973-226-3333
Fax Number	:	973-226-3033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID I GURIAN
Credential	:	AU.D.
Telephone Number	:	973-226-3333

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	02/20/2013

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