Organization
EYES ON EVESHAM, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAITHRI RAMANATHAN (OPTOMETRIST)
(856) 396-3183
Entity
Organization
Contact information
Practice address
751 ROUTE 73 S, EVESHAM, NJ 08053-9637
(856) 396-3183
(855) 595-2570
Mailing address
610 CROSS KEYS RD STE 203, SICKLERVILLE, NJ 08081-9580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00610001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438301YEYF
MEDICARE
NJ
Enumeration date
11/16/2016
Last updated
10/03/2023
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