Individual
DR. JAY DEMESQUITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4222 WESTFIELD AVE, PENNSAUKEN, NJ 08110-3010
(856) 964-1058
(856) 662-0299
Mailing address
4222 WESTFIELD AVE, PENNSAUKEN, NJ 08110-3010
(856) 964-1058
(856) 662-0299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00367000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K9077
HEALTH NET MATERIALS
NJ
05
—
1373501
—
NJ
01
—
18220
SPECTERA/AMERICHOICE
NJ
01
—
310045
NATL VISION ADMINISTRATOR
NJ
01
—
33221
AETNA
NJ
01
—
F09873
HEALTH NET
NJ
01
—
NJ03620
VISION BENEFITS OF AMERIC
NJ
Enumeration date
10/16/2006
Last updated
10/07/2008
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