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Organization

SOUTHERN SHORES EYE CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LEE MD (PRESIDENT)
(609) 597-8087
Entity
Organization

Contact information

Practice address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192
Mailing address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WL0500X
Low Vision Rehabilitation Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3235904
NJ
05
3235912
NJ
Enumeration date
05/10/2006
Last updated
03/25/2026
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