Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Ophthalmology - Sewell
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
100 KINGS WAY E STE C, SEWELL, NJ 08080-2238
(856) 582-0644
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721212
—
PA
Enumeration date
10/31/2019
Last updated
03/05/2026
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