Individual
DR. HARRY J. LANDRUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10 BAKER BLVD, MULLICA HILL, NJ 08062-1504
(856) 223-9100
(856) 223-1626
Mailing address
10 BAKER BLVD, MULLICA HILL, NJ 08062-1504
(856) 223-9100
(856) 223-1626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00448000
NJ
152W00000X
Optometrist
Primary
27TO00052500
NJ
152W00000X
Optometrist
OA4480
PA
152W00000X
Optometrist
OEG0011641
PA
152W00000X
Optometrist
TO00525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014109
AETNA
NJ
01
—
232334180
UNITED HEALTHCARE
NJ
01
—
401703
KEYSTONE HEALTH PLAN EAST
PA
05
—
6091601
—
NJ
01
—
802547
AMERIHEALTH
NJ
01
—
AMERHEALTH PPO
232334180
NJ
Enumeration date
10/25/2006
Last updated
07/08/2007
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