| Charles M Cummins, OD | |
|
1255 Broad St, Bloomfield, NJ 07003-3000 | |
| (973) 338-7575 | |
| (973) 338-5158 |
| Full Name | Charles M Cummins |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1255 Broad St, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396702296 | NPI | - | NPPES |
| 1779605 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 270A00371900 (New Jersey) | Primary |
| Provider Name | Charles M Cummins, Od, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598797722 PECOS PAC ID: 0446246995 Enrollment ID: O20040719000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Cummins, OD 11103 West Ave, Suite 6, San Antonio, TX 78213-1370 Ph: (210) 524-6663 | Charles M Cummins, OD 1255 Broad St, Bloomfield, NJ 07003-3000 Ph: (973) 338-7575 |
Kaitlyn Elizabeth Kolzow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 | |
Anuradha P Rana, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Ecoa Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 199 Broad St, Bloomfield, NJ 07003 Phone: 973-748-3300 Fax: 973-748-3802 | |
Dr. Shrabanti Goswami, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Broad St, Bloomfield, NJ 07003 Phone: 973-338-7575 | |
Eye Centers Of America, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St Ste 104, Bloomfield, NJ 07003 Phone: 973-707-7057 | |
Manar Doughouz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 108 Broughton Ave, Bloomfield, NJ 07003 Phone: 973-743-1331 Fax: 973-743-6577 |