Healthcare Provider Details

I. General information

NPI: 1134101256
Provider Name (Legal Business Name): CAMPUS EYE GROUP ASC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WHITEHORSE HAMILTON SQUARE RD
HAMILTON SQ NJ
08690-3536
US

IV. Provider business mailing address

1700 WHITEHORSE HAMILTON SQUARE RD
HAMILTON SQUARE NJ
08690-3536
US

V. Phone/Fax

Practice location:
  • Phone: 609-587-2020
  • Fax: 609-588-9545
Mailing address:
  • Phone: 609-587-2020
  • Fax: 609-588-9545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNE MARIE MCCOLE
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 609-587-2020