1881254308 NPI number — KAPLAN & TYSON, LLC DBA EYE ASSOCIATES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881254308 NPI number — KAPLAN & TYSON, LLC DBA EYE ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAPLAN & TYSON, LLC DBA EYE ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881254308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 S LINCOLN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VINELAND
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08361-7802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-691-8188
Provider Business Mailing Address Fax Number:
856-500-6001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 MYERS DRIVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
MULLICA HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-691-8188
Provider Business Practice Location Address Fax Number:
856-500-6001
Provider Enumeration Date:
06/17/2019

Additional Information

Authorized Official

Authorized Official Last Name:
BIAGI
Authorized Official First Name:
GINA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
856-691-8188

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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