Active NPIOrganization

Eye Society Boutique LLC

Optometrist in Sicklerville, New Jersey

NPI Number1124744438
Practice location
610 Cross Keys RD Ste 203, Sicklerville, NJ 08081-9580
Fax
856-245-5536
Last updated
October 18, 2022

Eye Society Boutique LLC is a healthcare organization based in Sicklerville, NJ. Eye Society Boutique LLC practices in Sicklerville, NJ. The NPI Number for Eye Society Boutique LLC is 1124744438. The current practice location address for Eye Society Boutique LLC is 610 Cross Keys RD Ste 203, Sicklerville, NJ 08081-9580 and can be reached out via phone at 856-250-1515 and via fax at 856-245-5536.

Provider Profile Details

NPI Number
1124744438
Provider Name
Eye Society Boutique LLC
Provider Entity Type
Organization
Address
610 Cross Keys RD Ste 203, Sicklerville, NJ 08081-9580
Phone Number
856-250-1515
Fax Number
856-245-5536
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Gaithri Ramanathan, OD, FAAO · Optometrist · 856-250-1515
Provider Enumeration Date
October 18, 2022
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Cross Keys RD Ste 203
Sicklerville, NJ 08081-9580
Zip
08081-9580
Phone Number
856-250-1515
Fax Number
856-245-5536
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
610 Cross Keys RD Ste 203
Sicklerville, NJ 08081-9580
City
Sicklerville
State
NJ
Zip
08081-9580
Phone Number
856-250-1515

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Eye Society Boutique LLC?

The NPI number of Eye Society Boutique LLC is 1124744438. It was assigned on October 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Eye Society Boutique LLC?

Eye Society Boutique LLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Eye Society Boutique LLC practice?

The practice location is 610 Cross Keys RD Ste 203, Sicklerville, NJ 08081-9580. The office can be reached at 856-250-1515 (phone) or 856-245-5536 (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 1124744438 directly on the NPPES registry website.

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