| Manalapan Eye Associates Llc | |
|
260 N County Line Rd Jackson NJ 08527-4473 | |
| (732) 730-3937 | |
| (732) 730-8499 |
| Full Name | Manalapan Eye Associates Llc |
|---|---|
| Speciality | Optometrist |
| Location | 260 N County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Rajeev Raghu (OWNER) |
| Authorized Official Contact | 7327303937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manalapan Eye Associates Llc 260 N County Line Rd Jackson NJ 08527-4473 Ph: (732) 730-3937 | Manalapan Eye Associates Llc 260 N County Line Rd Jackson NJ 08527-4473 Ph: (732) 730-3937 |
| NPI Number | 1194911438 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 1557456829 |
|---|---|
| Medicare Enrollment ID | O20071002000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194911438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | OA 05545 (New Jersey) | Primary |
| Provider Name | Rajeev Komati Raghu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467503748 PECOS PAC ID: 7517996440 Enrollment ID: I20050810000843 |
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