Active NPIIndividual providerSole proprietor

Dr. Martin A Kitagawa, OD

Optometrist in Deptford, New Jersey

NPI Number1902913577
Practice location
1750 Deptford Center RD, Ste A, Deptford, NJ 08096-5283
Fax
856-848-5657
Last updated
September 7, 2011

Martin A Kitagawa is an Optometrist based in Deptford, NJ. Martin A Kitagawa practices in Deptford, NJ and has the professional credentials of OD. The NPI Number for Martin A Kitagawa is 1902913577 and holds a License No. 27OA 00436200 (NJ). The current practice location address for Martin A Kitagawa is 1750 Deptford Center RD, Ste A, Deptford, NJ 08096-5283 and can be reached out via phone at 856-848-3162 and via fax at 856-848-5657.

Provider Profile Details

NPI Number
1902913577
Provider Name
Martin A Kitagawa
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1750 Deptford Center RD, Ste A, Deptford, NJ 08096-5283
Phone Number
856-848-3162
Fax Number
856-848-5657
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2006
Last Update Date
September 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1750 Deptford Center RD
Ste A
Deptford, NJ 08096-5283
Zip
08096-5283
Phone Number
856-848-3162
Fax Number
856-848-5657
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
1750 Deptford Center RD
Ste A
Deptford, NJ 08096-5283
City
Deptford
State
NJ
Zip
08096-5283
Phone Number
856-848-3162
Fax Number
856-848-5657

License Information

License Number
27OA 00436200
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 Dr. Martin A Kitagawa, OD?

The NPI number of Dr. Martin A Kitagawa, OD is 1902913577. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin A Kitagawa, OD?

Dr. Martin A Kitagawa, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA 00436200.

Where does Dr. Martin A Kitagawa, OD practice?

The practice location is 1750 Deptford Center RD, Ste A, Deptford, NJ 08096-5283. The office can be reached at 856-848-3162 (phone) or 856-848-5657 (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 1902913577 directly on the NPPES registry website.

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