MEDICARE: EXCHANGE PLACE EYE ASSOCIATES

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	27OA00624500	NJ

General Provider Information

NPI Number	:	1770867434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCHANGE PLACE EYE ASSOCIATES

Provider Business Mailing Address
First Line	:	66 YORK ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3838
Country	:	US
Telephone Number	:	201-855-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 YORK ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3838
Country	:	US
Telephone Number	:	201-855-9789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON CHEN
Credential	:	OD
Telephone Number	:	201-855-9789

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	05/18/2026

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