Wisda Eye Center Pc

LBN: Wisda Eye Center Pc
Wisda Eye Center Pc is an health care organization with primary practice located at 1318 S Main Rd Bldg. 2A, Vineland NJ 08360-6516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Wisda Eye Center Pc can be contacted via phone (856) 692-8008, or through Logan, Joanne via phone (856) 692-8008.

Contact Information

Primary practice address
1318 S Main Rd Bldg. 2A Vineland NJ 08360-6516
Fax: (856) 692-8044
Website:
Authorized official contact:
Name: Logan, Joanne

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA05025100 New Jersey

Profile Details

NPI number 1912943440
LBN Legal business name Wisda Eye Center Pc
DBA Doing business as
Authorized official Logan, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 23rd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912943440 NPPES
New Jersey MEDICAID 7014007

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