| Barry J. Edison D.o. P.c. | |
|
10 Industrial Way E, Suite 102, Eatontown, NJ 07724-3332 | |
| (732) 542-0300 | |
| (732) 935-0533 |
| Full Name | Barry J. Edison D.o. P.c. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 10 Industrial Way E, Eatontown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043236185 | NPI | - | NPPES |
| DF2658 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | MB72146 (New Jersey) | Primary |
| Provider Name | Barry J Edison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447283510 PECOS PAC ID: 0840249272 Enrollment ID: I20050119000035 |
| Provider Name | Prinze C Mack |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609990613 PECOS PAC ID: 9830282516 Enrollment ID: I20070911000860 |
| Provider Name | Alain M Bauza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619234077 PECOS PAC ID: 8729226246 Enrollment ID: I20180109001527 |
| Provider Name | Marc J Bader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598332876 PECOS PAC ID: 5890198691 Enrollment ID: I20210729003758 |
| Provider Name | Gopi P Vyas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669185518 PECOS PAC ID: 1355713785 Enrollment ID: I20230214000843 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry J. Edison D.o. P.c. 10 Industrial Way E, Suite 102, Eatontown, NJ 07724-3332 Ph: (732) 542-0300 | Barry J. Edison D.o. P.c. 10 Industrial Way E, Suite 102, Eatontown, NJ 07724-3332 Ph: (732) 542-0300 |