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NPI Code Detail

MEDICARE: CHARLES M CUMMINS OD PA

MEDICARE: CHARLES M CUMMINS OD PA
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
1332H00000XEyewear Supplier

Other Identifiers

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

General Provider Information

NPI Number : 1578529707
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLES M CUMMINS OD PA
Provider Business Mailing Address
First Line : PO BOX 846338
Second Line :
City : DALLAS
State : TX
Zip : 75284-6338
Country : US
Telephone Number : 210-524-6663
Fax Number : 210-524-6587
Provider Business Practice Location Address
First Line : 1255 BROAD ST
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3000
Country : US
Telephone Number : 973-338-7575
Fax Number : 973-338-5158
Authorized Official
Title or Position : OWNER
Name : CHARLES M. CUMMINS
Credential : O.D.
Telephone Number : 973-338-1064
Provider Enumeration Date : 04/25/2006
Last Update Date : 11/30/2022

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Directions to “CHARLES M CUMMINS OD PA ” Practice Location

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