Organization
BEDMINSTER EYE AND LASER CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI MCCANN (PRACTICE CONSULTANT)
(908) 781-2020
Entity
Organization
Contact information
Practice address
400 MAIN ST., BEDMINSTER, NJ 07921
(908) 781-2020
Mailing address
PO BOX 103, BEDMINSTER, NJ 07921-0103
(908) 781-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OA05514
NJ
207W00000X
Ophthalmology Physician
Primary
25MA04973100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170601
—
NJ
01
—
27207
AETNA
NJ
01
—
OM1314
HEALTNET
NJ
01
—
TS113
OXFORD
NJ
Enumeration date
09/05/2006
Last updated
07/01/2008
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