Individual
DR. PAUL KOSSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-1339
(856) 546-8136
Mailing address
105 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-1339
(856) 546-8136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00558400
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OA00558400
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
27OA00558400
NJ
152WP0200X
Pediatric Optometrist
27OA00558400
NJ
152WS0006X
Sports Vision Optometrist
27OA00558400
NJ
152WV0400X
Vision Therapy Optometrist
27OA00558400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7849303
—
NJ
Enumeration date
11/29/2006
Last updated
09/08/2011
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