| Douglas C Lambertson, Od Pc | |
|
400 Perrine Rd Suite 400 B Old Bridge NJ 08857-2843 | |
| (732) 727-7450 | |
| Not Available |
| Full Name | Douglas C Lambertson, Od Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Perrine Rd, Old Bridge, New Jersey |
| Authorized Official Name and Position | Douglas C Lambertson (OWNER) |
| Authorized Official Contact | 7327277450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas C Lambertson, Od Pc 400 Perrine Rd Suite 400 B Old Bridge NJ 08857-2843 Ph: (732) 727-7450 | Douglas C Lambertson, Od Pc 400 Perrine Rd Suite 400 B Old Bridge NJ 08857-2843 Ph: (732) 727-7450 |
| NPI Number | 1063782605 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 8224205885 |
|---|---|
| Medicare Enrollment ID | O20120123000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063782605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27OA00494900 (New Jersey) | Primary |
| Provider Name | Douglas Churchill Lambertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043392913 PECOS PAC ID: 9133396799 Enrollment ID: I20120123000302 |
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