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WISDA EYE CENTER PC NPI 1912943440


NPI Information

NPI: 1912943440
Provider Name: WISDA EYE CENTER PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1318 S MAIN RD
BLDG. 2A
VINELAND, NJ
ZIP 08360
Phone: (856) 692-8008
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WISDA EYE CENTER PC is an ophthalmology in Vineland, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WISDA EYE CENTER PC NPI is 1912943440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1318 S MAIN RD
BLDG. 2A
VINELAND, NJ
ZIP 08360-516
Phone: (856) 692-8008
Fax: (856) 692-8044

The provider's authorized official is Joanne Logan .
The authorized official title is Administrator and has the following contact phone number (856) 692-8008.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/23/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology25MA05025100NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E53674MEDICARE UPINNEW JERSEY
27014007MEDICAIDNEW JERSEY
3759163MEDICARE PIN
41146560001MEDICARE NSCNEW JERSEY

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: 11/14/2023

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