| David Alex Samuel, OD | |
|
28 Village Grn, Apt E, Budd Lake, NJ 07828-1328 | |
| (914) 500-3962 | |
| (732) 748-8734 |
| Full Name | David Alex Samuel |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 28 Village Grn, Budd Lake, 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 |
|---|---|---|---|
| 1073921508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00654700 (New Jersey) | Primary |
| Provider Name | Jdn Vista Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891238341 PECOS PAC ID: 1850678350 Enrollment ID: O20170511000214 |
| Mailing Address | Practice Location Address |
|---|---|
| David Alex Samuel, OD 28 Village Grn, Apt E, Budd Lake, NJ 07828-1328 Ph: (914) 500-3962 | David Alex Samuel, OD 28 Village Grn, Apt E, Budd Lake, NJ 07828-1328 Ph: (914) 500-3962 |
Vision Source Of Mt Olive Llc Optometrist Medicare: Medicare Enrolled Practice Location: 135 Route 46 East, Unit E, Budd Lake, NJ 07828 Phone: 862-258-3200 | |
Dr. Michael J. Siegel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 Route 46 East, Unit E, Paramount Plaza, Budd Lake, NJ 07828 Phone: 862-258-3200 | |
Dr. Howard N Delman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 81 International Dr S, Budd Lake, NJ 07828 Phone: 973-448-3767 |