Individual
DR. GRACE DIANE TAMMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1192 WHITE HORSE RD, VOORHEES, NJ 08043
(856) 428-0100
(856) 616-9670
Mailing address
1192 WHITE HORSE RD, VOORHEES, NJ 08043
(856) 428-0100
(856) 616-9670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00448900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080353000
AMERIHEALTH
—
01
—
110958
BLUE CROSS BLUE SHIELD
—
01
—
11534
SPECTERA
—
01
—
116890
EYEMED
—
01
—
20041
SUS
—
01
—
2140021000
AMERIHEALTH
—
01
—
23377
AVESIS
—
01
—
2K1265
HEALTHNET
—
01
—
34890
AETNA
NJ
01
—
42934
DAVIS VISION
—
01
—
P900553
OXFORD HEALTH PLAN
—
Enumeration date
04/06/2006
Last updated
10/19/2007
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