Iacoponi, Louis R

Iacoponi, Louis R is an sole proprietor health care provider with primary practice located at 1301B N Kings Hwy , Cherry Hill NJ 08034-1918. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iacoponi, Louis R can be contacted via phone (856) 795-5656.

Contact Information

Primary practice address
1301B N Kings Hwy Cherry Hill NJ 08034-1918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 270A00467400 New Jersey

Profile Details

NPI number 1164523874
LBN Legal business name Iacoponi, Louis R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Dec 29th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164523874 NPPES
New Jersey MEDICAID 2435705

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