| |
1 Harmon Dr, Blackwood, NJ 08012-5103 | |
(856) 228-1000 | |
(856) 227-7119 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1 Harmon Dr, Blackwood, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578891008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1 Harmon Dr, Blackwood, NJ 08012-5103 Ph: (856) 228-1000 | 1 Harmon Dr, Blackwood, NJ 08012-5103 Ph: (856) 228-1000 |