THE OPTIC NERVE, INC.; NPI #1871991570

Contact Information

THE OPTIC NERVE, INC.

163 ROUTE 73 S
MARLTON, NJ 08053-4120

Phone: 856-985-1300
Fax: 856-985-1346
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optician	156FX1800X	96[5]	Optician
Contact Lens	156FC0800X

Indicates primary specialty

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NPI Profile & details for THE OPTIC NERVE, INC.

NPI # 1871991570

LBN Legal business name THE OPTIC NERVE, INC.

Authorized official COLIN YODER - (OPTICIAN/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2014

Last updated 12/11/2014 - About 11 years ago

Identifiers

License #

31TD00342201

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE OPTIC NERVE, INC.

Contact Information

Specialty

Optician

Contact Lens

NPI Profile & details for THE OPTIC NERVE, INC.

Reviews for THE OPTIC NERVE, INC.