Individual
DAVID LENNOX BACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1104 ROUTE 130 N STE T, CINNAMINSON, NJ 08077-3032
(856) 303-1506
Mailing address
1104 ROUTE 130 N STE T, CINNAMINSON, NJ 08077-3032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00707800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77293
AETNA
—
Enumeration date
07/14/2021
Last updated
07/14/2021
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