| |
3 Cooper Plz, Suite 510, Camden, NJ 08103-1438 | |
(856) 342-7200 | |
(856) 342-6620 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3 Cooper Plz, Camden, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306986476 | NPI | - | NPPES |
0038890 | Medicaid | NJ | |
3902704 | Medicaid | NJ | |
NJ10000 | Other | NJ | VBA ID # |
0603140001 | Other | NJ | DURABLE MEDICAL EQUIPMENT |
16789 | Other | NJ | SPECTERA LOC # |
24611 | Other | NJ | SPECTERA DISPENSING |
7053509 | Medicaid | NJ | |
34371 | Other | NJ | DAVIS VISION LOC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
5001 Frankford Ave, Philadelphia, PA 19124-2619 Ph: (215) 288-5000 | 3 Cooper Plz, Suite 510, Camden, NJ 08103-1438 Ph: (856) 342-7200 |