Provider Demographics
NPI:1679115836
Name:PELI EYECARE AND ASSOCIATES
Entity type:Organization
Organization Name:PELI EYECARE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SZILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-271-4388
Mailing Address - Street 1:59 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-1624
Mailing Address - Country:US
Mailing Address - Phone:973-366-8144
Mailing Address - Fax:973-366-2572
Practice Address - Street 1:10 NORTH VILLAGE BOULEVARD
Practice Address - Street 2:SUITE C
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871
Practice Address - Country:US
Practice Address - Phone:973-366-8144
Practice Address - Fax:973-366-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty