Healthcare Provider Details

I. General information

NPI: 1891612339
Provider Name (Legal Business Name): PREMIER EYE HADDONFIELD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 KINGS HWY E # B
HADDONFIELD NJ
08033-2001
US

IV. Provider business mailing address

571 HADDON AVE
COLLINGSWOOD NJ
08108-1445
US

V. Phone/Fax

Practice location:
  • Phone: 856-427-0788
  • Fax:
Mailing address:
  • Phone: 856-858-3937
  • Fax: 856-425-2571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SAMARTINO
Title or Position: OWNER
Credential: OD
Phone: 609-220-8133