Active NPIIndividual providerSole proprietor

Suzanne Dibenedetto, LDO

Technician/Technologist, Optician in Egg Harbor Township, New Jersey

NPI Number1780375717
Practice location
6801 Black Horse Pike, Egg Harbor Township, NJ 08234-4115
Fax
609-484-8702
Last updated
May 19, 2023

Suzanne Dibenedetto is a Technician/Technologist, Optician based in Egg Harbor Township, NJ. Suzanne Dibenedetto practices in Egg Harbor Township, NJ and has the professional credentials of LDO. The NPI Number for Suzanne Dibenedetto is 1780375717 and holds a License No. 3875 (NJ). The current practice location address for Suzanne Dibenedetto is 6801 Black Horse Pike, Egg Harbor Township, NJ 08234-4115 and can be reached out via phone at 609-415-6350 and via fax at 609-484-8702.

Provider Profile Details

NPI Number
1780375717
Provider Name
Suzanne Dibenedetto
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
6801 Black Horse Pike, Egg Harbor Township, NJ 08234-4115
Phone Number
609-415-6350
Fax Number
609-484-8702
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
May 19, 2023
Last Update Date
May 19, 2023
Certification Date
May 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
6801 Black Horse Pike
Egg Harbor Township, NJ 08234-4115
Zip
08234-4115
Phone Number
609-415-6350
Fax Number
609-484-8702
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
6801 Black Horse Pike
Egg Harbor Township, NJ 08234-4115
City
Egg Harbor Township
State
NJ
Zip
08234-4115
Phone Number
609-415-6350
Fax Number
609-484-8702

License Information

License Number
3875
License State
NJ
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Suzanne Dibenedetto, LDO?

The NPI number of Suzanne Dibenedetto, LDO is 1780375717. It was assigned on May 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Suzanne Dibenedetto, LDO?

Suzanne Dibenedetto, LDO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 3875.

Where does Suzanne Dibenedetto, LDO practice?

The practice location is 6801 Black Horse Pike, Egg Harbor Township, NJ 08234-4115. The office can be reached at 609-415-6350 (phone) or 609-484-8702 (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 1780375717 directly on the NPPES registry website.

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