Healthcare Provider Details

I. General information

NPI: 1093316549
Provider Name (Legal Business Name): REFOCUS EYE HEALTH OF NJ, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 COOPER PLZ RM 510
CAMDEN NJ
08103-1438
US

IV. Provider business mailing address

3 COOPER PLZ RM 510
CAMDEN NJ
08103-1438
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-7200
  • Fax:
Mailing address:
  • Phone: 856-342-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN M SOLL
Title or Position: PRESIDENT
Credential:
Phone: 856-342-7200