=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982491189
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOLMDEL EYE CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2025
-----------------------------------------------------
Last Update Date | 04/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2137 STATE ROUTE 35 STE 375
-----------------------------------------------------
City | HOLMDEL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07733-1083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-828-5190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2137 STATE ROUTE 35 STE 375
-----------------------------------------------------
City | HOLMDEL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07733-1083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-828-5190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. AHMED ABDELHADY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 732-828-5190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------