Healthcare Provider Details

I. General information

NPI: 1417037110
Provider Name (Legal Business Name): MARGARET LOUISE FACEY-CAMPBELL O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 ROUTE 38
LUMBERTON NJ
08048-2257
US

IV. Provider business mailing address

3 ARGYLE AVENUE
TRENTON NJ
08618-5004
US

V. Phone/Fax

Practice location:
  • Phone: 609-702-5888
  • Fax: 609-702-0015
Mailing address:
  • Phone: 609-392-0062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number270A00400500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: