Southern Shores Eye Center, P.a. | |
1206 Route 72 W, Manahawkin, NJ 08050-2414 | |
(609) 597-8087 | |
(609) 597-7192 |
Full Name | Southern Shores Eye Center, P.a. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1206 Route 72 W, Manahawkin, 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 |
---|---|---|---|
1669421194 | NPI | - | NPPES |
3235904 | Medicaid | NJ | |
3235912 | Medicaid | NJ |
Provider Name | Robert Edward Lee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003866542 PECOS PAC ID: 7214916055 Enrollment ID: I20050830000812 |
Provider Name | Arthur L Siegel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225034325 PECOS PAC ID: 8123914447 Enrollment ID: I20060307000018 |
Provider Name | Elena R Drudy |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700835121 PECOS PAC ID: 0941213474 Enrollment ID: I20060731000149 |
Provider Name | Jonathan J Dorn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154327435 PECOS PAC ID: 9931280435 Enrollment ID: I20080122000468 |
Provider Name | John T Nutaitis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194775635 PECOS PAC ID: 8527193556 Enrollment ID: I20100316000969 |
Provider Name | Neil G Dreizen |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831149293 PECOS PAC ID: 6305825142 Enrollment ID: I20100408000518 |
Provider Name | Alan R Erickson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538119169 PECOS PAC ID: 6406835248 Enrollment ID: I20100421000804 |
Provider Name | Truc Hoang Nguyen |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912173980 PECOS PAC ID: 6800956475 Enrollment ID: I20111122000333 |
Mailing Address | Practice Location Address |
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Southern Shores Eye Center, P.a. 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087 | Southern Shores Eye Center, P.a. 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087 |