| Eyes On Evesham, L.l.c. | |
|
751 Route 73 S, Evesham, NJ 08053-9637 | |
| (856) 396-3183 | |
| (855) 595-2570 |
| Full Name | Eyes On Evesham, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 751 Route 73 S, Evesham, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386186633 | NPI | - | NPPES |
| 438301YEYF | Other | NJ | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00610001 (New Jersey) | Primary |
| Provider Name | Ami Dinesh Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861551608 PECOS PAC ID: 2466348354 Enrollment ID: I20040226000730 |
| Provider Name | Gaithri Ramanathan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023214160 PECOS PAC ID: 1153639976 Enrollment ID: I20150929000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyes On Evesham, L.l.c. 610 Cross Keys Rd Ste 203, Sicklerville, NJ 08081-9580 Ph: () - | Eyes On Evesham, L.l.c. 751 Route 73 S, Evesham, NJ 08053-9637 Ph: (856) 396-3183 |
Dr. Maya Panchal, OD Optometrist Medicare: Medicare Enrolled Practice Location: 748 Route 73 S Ste C, Evesham, NJ 08053 Phone: 856-596-5925 | |
Briana K Grimaldi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 65 Route 70 E, Evesham, NJ 08053 Phone: 856-596-4416 Fax: 856-596-6566 |