Organization
HARRY J. LANDRUM, JR, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY J. LANDRUM JR. O.D. (PRESIDENT)
(856) 223-9100
Entity
Organization
Contact information
Practice address
10 BAKER BLVD, MULLICA HILL, NJ 08062-1504
(856) 223-9100
(856) 223-1626
Mailing address
10 BAKER BLVD, MULLICA HILL, NJ 08062-1504
(856) 223-9100
(856) 223-1626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ML0431572
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401703
HIGHMARK BLUE SHIELD ID
PA
01
—
0097517000
KEYSTONE HMO
PA
01
—
2014109
AETNA
NJ
05
—
6091601
—
NJ
01
—
802547
AMERIHEALTH
NJ
Enumeration date
03/22/2007
Last updated
12/08/2011
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