Provider Demographics
NPI:1306689864
Name:PERSONALEYES VISION GROUP LLC
Entity type:Organization
Organization Name:PERSONALEYES VISION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HINSPETER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:856-430-6893
Mailing Address - Street 1:700 E CLEMENTS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RUNNEMEDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08078-1455
Mailing Address - Country:US
Mailing Address - Phone:856-939-8000
Mailing Address - Fax:856-939-8001
Practice Address - Street 1:700 E CLEMENTS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:RUNNEMEDE
Practice Address - State:NJ
Practice Address - Zip Code:08078-1455
Practice Address - Country:US
Practice Address - Phone:856-939-8000
Practice Address - Fax:856-939-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty