SOUTH JERSEY EYE PHYSICIANS PA (NPI# 1629287032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629287032 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY EYE PHYSICIANS PA |
| Practice Address |
103 Old Marlton Pike Ste 216 Medford NJ 08055-8772 |
| Mailing Address |
509 S Lenola Rd Suite 11 Moorestown NJ 08057-1561 |
| Practice Telephone | 6097148761 |
| Practice Fax Number | 6097148759 |
| Mailing Telephone | 8562340258 |
| Mailing Fax Number | 8567279518 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DR. JAMES G NACHBAR (PRESIDENT) |
| Authorized Official Telephone | 8562340258 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 25MA04135500 | NJ | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256352 | South Jersey Eye Physicians Pa | Durable Medical Equipment & Medical Supplies | 25 Homestead Dr Ste A, Columbus, NJ 08022-1005 | 2020-08-20 |
| 1215978408 | South Jersey Eye Physicians Pa | Optometrist | 509 S Lenola Rd, Suite 11, Moorestown, NJ 08057-1561 | 2006-06-09 |
| Street Address |
103 OLD MARLTON PIKE STE 216 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801450184 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316091341 | Usv Optical Inc.. | Eyewear Supplier (Equipment, not the service) | 909 The Fellsway, Medford, MA 02155-4151 | 2007-01-23 |
| 1841356151 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 501 Medford Ctr, Medford S/c, Medford, OR 97504-6004 | 2006-12-29 |
| 1922183557 | Budd Optical | Eyewear Supplier (Equipment, not the service) | 175 Route 70 Ste 23, Medford, NJ 08055-2355 | 2006-10-25 |
| 1720170756 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1600 North Riverside Avenue, Medford, OR 97501 | 2006-09-28 |
| 1508804550 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-03 |
| 1093321747 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 278 Middlesex Ave, Medford, MA 02155-5066 | 2020-09-18 |
| 1649678616 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2014-12-08 |
| 1982879292 | Medical Eye Center Optical Inc | Eyewear Supplier (Equipment, not the service) | 815 E Main St, Medford, OR 97504-7133 | 2008-04-28 |
| 1396955001 | Jason M. Gilbert Mdpc | Eyewear Supplier (Equipment, not the service) | 101 Main Street, Suite 208, Medford, MA 02155 | 2007-05-23 |
| 1588724520 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | 2006-12-11 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.