Eyecare Specialties Support Of Nj PC
Optometrist in Blackwood, New Jersey
1003601287- Practice location
- 901 Route 168 Ste 409-410, Blackwood, NJ 08012-3210
- Phone
- 618-462-9818
- Fax
- 314-741-4947
- Last updated
- October 14, 2025
Eyecare Specialties Support Of Nj PC is a healthcare organization based in Blackwood, NJ. Eyecare Specialties Support Of Nj PC practices in Blackwood, NJ. The NPI Number for Eyecare Specialties Support Of Nj PC is 1003601287. The current practice location address for Eyecare Specialties Support Of Nj PC is 901 Route 168 Ste 409-410, Blackwood, NJ 08012-3210 and can be reached out via phone at 618-462-9818 and via fax at 314-741-4947.
Provider Profile Details
- NPI Number
- 1003601287
- Provider Name
- Eyecare Specialties Support Of Nj PC
- Provider Entity Type
- Organization
- Address
- 901 Route 168 Ste 409-410, Blackwood, NJ 08012-3210
- Phone Number
- 618-462-9818
- Fax Number
- 314-741-4947
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Melissa Allison · Sr. Director Mvc · 618-604-5208
- Provider Enumeration Date
- April 10, 2025
- Last Update Date
- October 14, 2025
- Certification Date
- October 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 901 Route 168 Ste 409-410
Blackwood, NJ 08012-3210 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-3210
- Phone Number
- 618-462-9818
- Fax Number
- 314-741-4947
Provider Business Mailing Address Details
- Address
- 111 E 4TH St Ste 440
Alton, IL 62002-6206 - City
- Alton
- State
- IL
- Zip
- 62002-6206
- Phone Number
- 618-462-9818
- Fax Number
- 314-741-4947
License Information
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eyecare Specialties Support Of Nj PC?
The NPI number of Eyecare Specialties Support Of Nj PC is 1003601287. It was assigned on April 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Eyecare Specialties Support Of Nj PC?
Eyecare Specialties Support Of Nj PC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Eyecare Specialties Support Of Nj PC practice?
The practice location is 901 Route 168 Ste 409-410, Blackwood, NJ 08012-3210. The office can be reached at 618-462-9818 (phone) or 314-741-4947 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003601287 directly on the NPPES registry website.