Avergon, Michelle
Avergon, Michelle is an sole proprietor health care provider with primary practice located at 620 Cranbury Rd Suite 102, East Brunswick NJ 08816-4098. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Avergon, Michelle can be contacted via phone (732) 238-0393.Contact Information
Primary practice address
620 Cranbury Rd Suite 102
East Brunswick NJ 08816-4098
Phone: (732) 238-0393
Fax: (732) 238-6393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA00547300 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO00085100 | New Jersey |
Profile Details
| NPI number | 1013998939 |
|---|---|
| LBN Legal business name | Avergon, Michelle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 22nd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013998939 | NPPES |
| New Jersey | MEDICAID | 7304803 |
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