Organization
BANNETT EYE CENTERS PA
Active
Parent organization
BANNETT EYE CENTERS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNETT EYE CENTERS, PA
Authorized official
JULIE BLINDERMAN BANNETT (PRACTICE ADMINISTRATOR)
(856) 853-5554
Entity
Organization
Contact information
Practice address
620 N BROAD ST, WOODBURY, NJ 08096-1795
(856) 853-5554
(856) 853-5650
Mailing address
620 N BROAD ST, WOODBURY, NJ 08096-1795
(856) 853-5554
(856) 853-5650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MB04846500
NJ
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
12/16/2022
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