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General NPI Number Information
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NPI Number | 1891612339
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Entity Type | Organization
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Legal Business Name | PREMIER EYE HADDONFIELD LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 57 KINGS HWY E # B
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City | HADDONFIELD
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State | NJ
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Zip | 08033-2001
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Country | US
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Telephone | 856-427-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 571 HADDON AVE
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City | COLLINGSWOOD
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State | NJ
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Zip | 08108-1445
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Country | US
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Telephone | 856-858-3937
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Fax | 856-425-2571
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN SAMARTINO
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Credential | OD
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Telephone | 609-220-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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