Individual
SAM KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
4403 BLACK HORSE PIKE STE 2093, MAYS LANDING, NJ 08330-3176
(609) 484-0060
Mailing address
4403 BLACK HORSE PIKE STE 2093, MAYS LANDING, NJ 08330-3176
(609) 484-0060
(609) 855-5028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00659100
NJ
152W00000X
Optometrist
ODP - 100327
ID
Other
Enumeration date
04/30/2015
Last updated
05/23/2020
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