Organization
BEDMINSTER EYE AND LASER CENTER, P.A.
Active
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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