| Mia Decapua, OD | |
|
714 Station Ave, Haddon Heights, NJ 08035-1636 | |
| (856) 546-8686 | |
| (856) 546-0959 |
| Full Name | Mia Decapua |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 714 Station Ave, Haddon Heights, 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 |
|---|---|---|---|
| 1659044303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00706700 (New Jersey) | Primary |
| Provider Name | Associated Retinal Consultants Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164578894 PECOS PAC ID: 2961509161 Enrollment ID: O20070523000337 |
| Provider Name | Dr Dennis A Cardillo Eye Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760290472 PECOS PAC ID: 2668991878 Enrollment ID: O20250521001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Decapua, OD 420 Mountain Ave Fl 4, New Providence, NJ 07974-2736 Ph: (856) 691-8188 | Mia Decapua, OD 714 Station Ave, Haddon Heights, NJ 08035-1636 Ph: (856) 546-8686 |
Dr. Dennis Armand Cardillo Sr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 714 Station Avenue, Haddon Heights, NJ 08035 Phone: 856-546-8686 Fax: 856-546-0959 | |
Dr. Paul Kossis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-547-1339 Fax: 856-546-8136 | |
Dennis A Cardillo Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 Station Ave, Haddon Heights, NJ 08035 Phone: 856-546-8686 Fax: 856-546-0959 | |
Haddon Family Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 105 White Horse Pike, Haddon Heights, NJ 08035 Phone: 856-547-1339 Fax: 856-546-8136 | |
Dr Dennis A Cardillo Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 714 Station Ave, Haddon Heights, NJ 08035 Phone: 856-546-8686 |