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NPI Code Detail

MEDICARE: GEM FAMILY EYECARE

MEDICARE: GEM FAMILY EYECARE
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
1332H00000XEyewear SupplierD1444NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558445718
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEM FAMILY EYECARE
Provider Business Mailing Address
First Line : 1086 ST GEORGE AVE
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2664
Country : US
Telephone Number : 732-388-0027
Fax Number :
Provider Business Practice Location Address
First Line : 1086 ST GEORGE AVE
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2664
Country : US
Telephone Number : 732-388-0027
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAY ZINBERG
Credential :
Telephone Number : 732-388-0073
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/22/2020

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Directions to “GEM FAMILY EYECARE ” Practice Location

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