MT HOLLY EYE PHYSICIANS AND SURGEONS (NPI# 1104097880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104097880 |
| Entity Type | Organization |
| Organization Name | MT HOLLY EYE PHYSICIANS AND SURGEONS |
| Other Organization Name | MT HOLLY OPTICAL |
| Practice Address |
1613 Route 38 Lumberton NJ 08048-2921 |
| Practice Telephone | 6092675577 |
| Practice Fax Number | 6092675570 |
| Mailing Telephone | 6092675577 |
| Mailing Fax Number | 6092675570 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | HARRY GROSSMAN (PRESIDENT) |
| Authorized Official Telephone | 6092675577 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | MA65455 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| MT HOLLY OPTICAL | Other Name - Individual/Organization |
| Street Address |
1613 ROUTE 38 |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226495 | George O Chatyrka | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-24 |
| 1376093682 | Virtua Medical Group, Pa | Podiatrist | 1613 Route 38, 1st Fl Back, Lumberton, NJ 08048 | 2016-10-11 |
| 1619134103 | Prasad R Medavarapu | Pharmacist | 1613 Route 38, Lumberton, NJ 08048-2921 | 2008-05-21 |
| 1932306024 | Mt Holly Eye Physicians & Surgeons Professional Association | Ophthalmology | 1613 Route 38, Lumberton, NJ 08048 | 2007-07-02 |
| 1801009766 | Mt Holly Eye Physicians & Surgeons | Eyewear Supplier (Equipment, not the service) | 1613 Route 38, Lumberton, NJ 08048-2921 | 2007-05-08 |
| 1770605040 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1613 Route 38, Lumberton, NJ 08048-2921 | 2007-04-06 |
| 1124138938 | Alyssa Heimerling | Physical Therapy Assistant | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-08-30 |
| 1063441400 | Charles A Kastenberg | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-30 |
| 1235168709 | Thomas D Godleski | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-30 |
| 1508892845 | Sapna Jain-bhalodia | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093856916 | Carolina Eye Care Professionals, Pa | Eyewear Supplier (Equipment, not the service) | 4311c Ludgate St, Lumberton, NC 28358-2460 | 2007-02-12 |
| 1801009766 | Mt Holly Eye Physicians & Surgeons | Eyewear Supplier (Equipment, not the service) | 1613 Route 38, Lumberton, NJ 08048-2921 | 2007-05-08 |
| 1841398948 | In-vision Optics Inc. | Eyewear Supplier (Equipment, not the service) | 1636 Route 38, Suite 45, Lumberton, NJ 08048-2900 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555657 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2451 Route 1, North Brunswick, NJ 08902-4328 | 2020-10-10 |
| 1629676861 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 321 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2834 | 2020-10-10 |
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1518574847 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08691-2100 | 2020-09-30 |
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
| 1265049134 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 30 S State Rt 17, Paramus, NJ 07652-2645 | 2020-09-25 |
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
| 1932715521 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1904 Route 35, Oakhurst, NJ 07755-2715 | 2020-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.