MEDICARE: DR. JAMES CIMBAK O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OEG000316	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134270515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CIMBAK O.D.

Provider Business Mailing Address
First Line	:	701 LIMEKILN PIKE STE 4
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-2823
Country	:	US
Telephone Number	:	215-619-2292
Fax Number	:	215-619-2804

Provider Business Practice Location Address
First Line	:	701 LIMEKILN PIKE STE 4
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-2823
Country	:	US
Telephone Number	:	215-619-2292
Fax Number	:	215-619-2804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	08/14/2020

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