| Dr Lisa Martin Wiedeman, OD | |
| 
					1809 Corlies Ave, Suite 1, Neptune, NJ 07753-4801  | |
| (732) 774-5566 | |
| (732) 988-7574 | 
| Full Name | Dr Lisa Martin Wiedeman | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 1809 Corlies Ave, Neptune, 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 | 
|---|---|---|---|
| 1710098066 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OA00516100 (New Jersey) | Primary | 
| Provider Name | Del Negro & Senft Eye Associates, P.c. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1891866323 PECOS PAC ID: 1658352448 Enrollment ID: O20040527000378  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lisa Martin Wiedeman, OD 1809 Corlies Ave, Suite 1, Neptune, NJ 07753-4801 Ph: (732) 774-5566  | Dr Lisa Martin Wiedeman, OD 1809 Corlies Ave, Suite 1, Neptune, NJ 07753-4801 Ph: (732) 774-5566  | 
Del Negro & Senft Eye Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1809 Corlies Ave, Suite 1, Neptune, NJ 07753 Phone: 732-774-5566  | |
Dr. Robert Edward Satty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1809 Corlies Ave, Suite 1, Neptune, NJ 07753 Phone: 732-774-5566 Fax: 732-774-8810  | |
Shreyal Shukla, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2200 Route 66 Ste 5, Neptune, NJ 07753 Phone: 732-775-0013  | |
Del Negro & Senft Eye Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1809 Corlies Avenue, Suite 1, Neptune, NJ 07753 Phone: 732-774-5566 Fax: 732-988-7574  | |
Dr. Tina V Shah, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1809 Corlies Ave, Suite 1, Neptune, NJ 07753 Phone: 732-774-5566  |