MEDICARE: SIGHT SAVER OPTICAL

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	D1559	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1699881243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGHT SAVER OPTICAL

Provider Business Mailing Address
First Line	:	1358 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-505-4444
Fax Number	:	732-505-1068

Provider Business Practice Location Address
First Line	:	1358 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	732-505-4444
Fax Number	:	732-505-1068

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRUCE ZIEGLER
Credential	:	OD
Telephone Number	:	732-505-4444

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/10/2009

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Directions to “SIGHT SAVER OPTICAL ” Practice Location

Language	Start Address	Practice Location

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