| Stephanie D'allura, | |
|
1625 Rte 71, Wall, NJ 07719-3153 | |
| (732) 305-8340 | |
| Not Available |
| Full Name | Stephanie D'allura |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1625 Rte 71, Wall, 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 |
|---|---|---|---|
| 1811519200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00698100 (New Jersey) | Primary |
| Provider Name | Ehg Nj Service Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285222877 PECOS PAC ID: 9335556315 Enrollment ID: O20210319000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie D'allura, 1625 Rte 71, Wall, NJ 07719-3153 Ph: () - | Stephanie D'allura, 1625 Rte 71, Wall, NJ 07719-3153 Ph: (732) 305-8340 |
Brian Daniel D'allura, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1625 State Route 71, Wall, NJ 07719 Phone: 732-305-0850 Fax: 732-305-8340 | |
Dr. Anthony Giallombardo Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1722 New Bedford Road, Suite 1, Wall, NJ 07719 Phone: 732-974-1400 | |
Dallura Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1625 Rte 71, Wall, NJ 07719 Phone: 610-506-8537 |