Harry J. Landrum, Jr, Od, Pc
LBN: Harry J. Landrum, Jr, Od, Pc
Harry J. Landrum, Jr, Od, Pc is an health care organization with primary practice located at 10 Baker Blvd , Mullica Hill NJ 08062-1504. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Harry J. Landrum, Jr, Od, Pc can be contacted via phone (856) 223-9100, or through Landrum, Harry J. via phone (856) 223-9100.
Contact Information
Primary practice address
10 Baker Blvd
Mullica Hill NJ 08062-1504
Phone: (856) 223-9100
Fax: (856) 223-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ML0431572 | New Jersey |
Profile Details
| NPI number | 1790802130 |
|---|---|
| LBN Legal business name | Harry J. Landrum, Jr, Od, Pc |
| DBA Doing business as | |
| Authorized official | Landrum, Harry J. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Dec 8th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790802130 | NPPES |
| Pennsylvania | Other | 000401703 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | Other | 802547 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | Other | 2014109 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | Other | 0097517000 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | MEDICAID | 6091601 | HIGHMARK BLUE SHIELD ID |
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