| |
395 Highway 33, Mercerville, NJ 08619 | |
(609) 586-0273 | |
(609) 586-7018 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 395 Highway 33, Mercerville, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871763755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 270A00411600 (New Jersey) | Secondary |
332H00000X | Eyewear Supplier | 270A00411600 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
395 Highway 33, Mercerville, NJ 08619 Ph: (609) 586-0273 | 395 Highway 33, Mercerville, NJ 08619 Ph: (609) 586-0273 |