OPHTHALMOLOGY CTR. LTD. NPI 1043264195

NPI Information

NPI: 1043264195
Provider Name: OPHTHALMOLOGY CTR. , LTD.
Classification: Specialist - 174400000X
Entity Type: Organization
Doing Business As: HADDONFIELD EYE ASSOCIATION
Address: 1637 S BROAD ST
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 465-7100

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NPI Details

OPHTHALMOLOGY CTR. , LTD. is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OPHTHALMOLOGY CTR. , LTD. NPI is 1043264195. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Haddonfield Eye Association.

The provider's business location address is:

1637 S BROAD ST
PHILADELPHIA, PA
ZIP 19148-003
Phone: (215) 465-7100
Fax: (215) 463-3550

The provider's authorized official is Gail Mussoline .
The authorized official title is Office Supervisor and has the following contact phone number (856) 429-2199.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 2/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies			NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0640370001	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	DURABLE MEDICAL EQUIPMENT
2	55507	OTHER	NEW JERSEY	US HEALTHCARE
3	0114330000	OTHER	NEW JERSEY	AMERIHEALTH
4	0640370002	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	DURABLE MEDICAL EQUIPMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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