| Valley Spring Eyecare Center | |
|
2040 Millburn Ave Suite 205 Maplewood NJ 07040-3726 | |
| (973) 762-4996 | |
| (973) 762-4955 |
| Full Name | Valley Spring Eyecare Center |
|---|---|
| Speciality | Ophthalmology |
| Location | 2040 Millburn Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Samuel T. Duncan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9737624996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Spring Eyecare Center 2040 Millburn Ave Suite 205 Maplewood NJ 07040-3726 Ph: (973) 762-4996 | Valley Spring Eyecare Center 2040 Millburn Ave Suite 205 Maplewood NJ 07040-3726 Ph: (973) 762-4996 |
| NPI Number | 1598073306 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Medicare PECOS PAC ID | 2466644000 |
|---|---|
| Medicare Enrollment ID | O20101014000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598073306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05142400 (New Jersey) | Secondary |
| 207W00000X | Ophthalmology | 25MA05142400 (New Jersey) | Primary |
| Provider Name | Samuel T Duncan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063419810 PECOS PAC ID: 2264322494 Enrollment ID: I20050822000631 |
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