MEDICARE: QUALITY EYE ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	270A00505500	NJ
2	207W00000X	Ophthalmology Physician	25MA03166800	NJ
3	207W00000X	Ophthalmology Physician	25MA06345500	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DH0049	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2870743000	OTHER	NJ	AMERIHEALTH

General Provider Information

NPI Number	:	1467631390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY EYE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-927-2020
Fax Number	:	609-926-7616

Provider Business Practice Location Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-927-2020
Fax Number	:	609-926-7616

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JUN C HUANG
Credential	:	MD, PHD
Telephone Number	:	609-927-2020

Provider Enumeration Date	:	10/27/2007
Last Update Date	:	04/07/2010

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Directions to “QUALITY EYE ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

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