Active NPIIndividual provider

Sam Khoury, OPTOMETRIST

Optometrist in Mays Landing, New Jersey

NPI Number1962889741
Practice location
4403 Black Horse Pike Ste 2093, Mays Landing, NJ 08330-3176
Fax
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Last updated
May 23, 2020

Sam Khoury is an Optometrist based in Mays Landing, NJ. Sam Khoury practices in Mays Landing, NJ and has the professional credentials of OPTOMETRIST. The NPI Number for Sam Khoury is 1962889741 and holds a License No. ODP - 100327 (ID). The current practice location address for Sam Khoury is 4403 Black Horse Pike Ste 2093, Mays Landing, NJ 08330-3176 and can be reached out via phone at 609-484-0060.

Provider Profile Details

NPI Number
1962889741
Provider Name
Sam Khoury
Credential
OPTOMETRIST
Provider Entity Type
Individual
Gender
Male
Address
4403 Black Horse Pike Ste 2093, Mays Landing, NJ 08330-3176
Phone Number
609-484-0060
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 30, 2015
Last Update Date
May 23, 2020
Certification Date
May 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
4403 Black Horse Pike Ste 2093
Mays Landing, NJ 08330-3176
Zip
08330-3176
Phone Number
609-484-0060
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
4403 Black Horse Pike Ste 2093
Mays Landing, NJ 08330-3176
City
Mays Landing
State
NJ
Zip
08330-3176
Phone Number
609-484-0060
Fax Number
609-855-5028

License Information

License Number (1)
ODP - 100327
License State (1)
ID
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00659100
License State (2)
NJ
Taxonomy (2)
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 Sam Khoury, OPTOMETRIST?

The NPI number of Sam Khoury, OPTOMETRIST is 1962889741. It was assigned on April 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Sam Khoury, OPTOMETRIST?

Sam Khoury, OPTOMETRIST is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ID under license number ODP - 100327.

Where does Sam Khoury, OPTOMETRIST practice?

The practice location is 4403 Black Horse Pike Ste 2093, Mays Landing, NJ 08330-3176. The office can be reached at 609-484-0060 (phone).

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 1962889741 directly on the NPPES registry website.

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