Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 27OA00593900 | NJ |
N | 152W00000X | Optometrist | 27TO001322300 | NJ |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV006770 | NY |
NPI | 1255542254 |
---|---|
Provider Name | Dr. Eric O. Yossef |
First Address | Princeton, NJ 08540-2757 |
Second Address | Princeton, NJ 08540-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 16/11/2012 |