Individual
DR. VICKI WASSER EDELSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
38 W MAIN ST, MAPLE SHADE, NJ 08052-2432
(856) 779-7595
(856) 779-7596
Mailing address
38 W MAIN ST, MAPLE SHADE, NJ 08052-2432
(856) 779-7595
(856) 779-7596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ 4979
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149290001
MDCR DMERC
NJ
01
—
0479514000
AMERIHEALTH/KEYSTONE
NJ
05
—
1013700
—
NJ
01
—
144717
COLE VISION/EYEMED
NJ
01
—
24019
AETNA
NJ
01
—
26010
AMERICHOICE
NJ
01
—
2K1497
HEALTHNET
NJ
01
—
3416397
CIGNA
NJ
01
—
35237
DAVIS VISION
NJ
01
—
648563
BC/BS PA
NJ
01
—
NJ84996
VISION BENFITS AMERICA
NJ
Enumeration date
02/27/2006
Last updated
07/08/2007
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