Individual
CHARLES M. CUMMINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1255 BROAD ST, BLOOMFIELD, NJ 07003-3000
(973) 338-7575
(973) 338-5158
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00371900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1779605
—
NJ
Enumeration date
04/26/2006
Last updated
07/08/2007
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