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General NPI Number Information
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NPI Number | 1679750376
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Entity Type | Organization
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Legal Business Name | OPHTHALMIC ASSOCIATES, PA
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1051 W SHERMAN AVE STE 5A
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City | VINELAND
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State | NJ
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Zip | 08360-6931
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Country | US
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Telephone | 856-691-0504
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Fax | 856-205-1721
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Provider Business Mailing Address
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Address Line | 1051 W SHERMAN AVE STE 5A
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City | VINELAND
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State | NJ
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Zip | 08360-6931
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Country | US
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Telephone | 856-691-0504
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Fax | 856-205-1721
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | CHRISTOPHER RYAN BRUNO
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Credential |
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Telephone | 856-696-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3166
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3451
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License Number State | NJ
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