Balysky, Andrew I
Balysky, Andrew I is an sole proprietor health care provider with primary practice located at 530 East Main Street Box 521 Suite 2B, Chester NJ 07930. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Balysky, Andrew I can be contacted via phone (908) 879-7070.Contact Information
Primary practice address
530 East Main Street Box 521 Suite 2B
Chester NJ 07930
Phone: (908) 879-7070
Fax: (908) 879-5323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE006546P | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00466700 | New Jersey |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 27OA00466700 | New Jersey |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OE006546P | Pennsylvania |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 27OA00466700 | New Jersey |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OE006546P | Pennsylvania |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 27OA00466700 | New Jersey |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OE006546P | Pennsylvania |
Profile Details
| NPI number | 1801980461 |
|---|---|
| LBN Legal business name | Balysky, Andrew I |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 12th, 2010 - 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 | 1801980461 | NPPES |
| New Jersey | Other | 222735687 | TAX ID |
| New Jersey | Other | 0584730001 | TAX ID |
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