Provision Family Eye Care | |
3452 Broidy Rd, Mcguire Afb, Trenton, NJ 08641-5305 | |
(609) 723-8957 | |
Not Available |
Full Name | Provision Family Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 3452 Broidy Rd, Trenton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407397011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 27OA00611200 (New Jersey) | Primary |
Provider Name | Monika Wysoczanska |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376737924 PECOS PAC ID: 5092844308 Enrollment ID: I20100525000864 |
Mailing Address | Practice Location Address |
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Provision Family Eye Care 3452 Broidy Rd, Mcguire Afb, Trenton, NJ 08641-5305 Ph: () - | Provision Family Eye Care 3452 Broidy Rd, Mcguire Afb, Trenton, NJ 08641-5305 Ph: (609) 723-8957 |
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Dr. Susan A Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1964 N Olden Avenue Ext, Trenton, NJ 08618 Phone: 609-883-4407 Fax: 609-883-4085 | |
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