Active NPIIndividual provider

Mia Decapua, OD

Optometrist in Haddon Heights, New Jersey

NPI Number1659044303
Practice location
714 Station Ave, Haddon Heights, NJ 08035-1636
Fax
856-546-0959
Last updated
February 14, 2025

Mia Decapua is an Optometrist based in Haddon Heights, NJ. Mia Decapua practices in Haddon Heights, NJ and has the professional credentials of OD. The NPI Number for Mia Decapua is 1659044303 and holds a License No. 27OA00706700 (NJ). The current practice location address for Mia Decapua is 714 Station Ave, Haddon Heights, NJ 08035-1636 and can be reached out via phone at 856-546-8686 and via fax at 856-546-0959.

Provider Profile Details

NPI Number
1659044303
Provider Name
Mia Decapua
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
714 Station Ave, Haddon Heights, NJ 08035-1636
Phone Number
856-546-8686
Fax Number
856-546-0959
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2021
Last Update Date
February 14, 2025
Certification Date
February 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 Station Ave
Haddon Heights, NJ 08035-1636
Zip
08035-1636
Phone Number
856-546-8686
Fax Number
856-546-0959
Haddon Heights, NJ 08035Get directions →

Provider Business Mailing Address Details

Address
420 Mountain Ave Fl 4
New Providence, NJ 07974-2736
City
New Providence
State
NJ
Zip
07974-2736
Phone Number
856-691-8188
Fax Number
856-691-0421

License Information

License Number
27OA00706700
License State
NJ
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 Mia Decapua, OD?

The NPI number of Mia Decapua, OD is 1659044303. It was assigned on July 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Mia Decapua, OD?

Mia Decapua, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00706700.

Where does Mia Decapua, OD practice?

The practice location is 714 Station Ave, Haddon Heights, NJ 08035-1636. The office can be reached at 856-546-8686 (phone) or 856-546-0959 (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 1659044303 directly on the NPPES registry website.

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