Healthcare Provider Details

I. General information

NPI: 1811812258
Provider Name (Legal Business Name): LAUREN QUADIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E CLEMENTS BRIDGE RD
RUNNEMEDE NJ
08078-1455
US

IV. Provider business mailing address

700 E CLEMENTS BRIDGE RD
RUNNEMEDE NJ
08078-1455
US

V. Phone/Fax

Practice location:
  • Phone: 856-939-5515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00745500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: