| Vision Source Of Mt Olive Llc | |
|
135 Route 46 East, Unit E, Budd Lake, NJ 07828 | |
| (862) 258-3200 | |
| Not Available |
| Full Name | Vision Source Of Mt Olive Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 135 Route 46 East, Budd Lake, 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 |
|---|---|---|---|
| 1063766202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00511800 (New Jersey) | Primary |
| Provider Name | Michael J Siegel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427035005 PECOS PAC ID: 3476649344 Enrollment ID: I20071026000376 |
| Provider Name | Marc Peter Otto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720413552 PECOS PAC ID: 1052535143 Enrollment ID: I20201124001727 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Of Mt Olive Llc 135 Route 46 East, Unit E, Budd Lake, NJ 07828 Ph: (862) 258-3200 | Vision Source Of Mt Olive Llc 135 Route 46 East, Unit E, Budd Lake, NJ 07828 Ph: (862) 258-3200 |
David Alex Samuel, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 28 Village Grn, Apt E, Budd Lake, NJ 07828 Phone: 914-500-3962 Fax: 732-748-8734 | |
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 |