Healthcare Provider Details

I. General information

NPI: 1437191970
Provider Name (Legal Business Name): KAPLAN & TYSON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 S LINCOLN AVE
VINELAND NJ
08361-7802
US

IV. Provider business mailing address

251 S LINCOLN AVE
VINELAND NJ
08361-7802
US

V. Phone/Fax

Practice location:
  • Phone: 856-691-8188
  • Fax: 856-691-0421
Mailing address:
  • Phone: 856-691-8188
  • Fax: 856-691-0421

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

VIII. Authorized Official

Name: GINA L BIAGI
Title or Position: ADMINISTRATOR
Credential:
Phone: 856-691-8188