MEDICARE: LINWOOD OPTICAL

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	332H00000X	Eyewear Supplier	D-1328	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497916928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINWOOD OPTICAL

Provider Business Mailing Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-653-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-653-2080
Fax Number	:

Authorized Official
Title or Position	:	OPTHTHALMOLIGIST
Name	:	DR. PAUL REMER
Credential	:	M.D.
Telephone Number	:	609-653-2080

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	06/27/2008

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Directions to “LINWOOD OPTICAL ” Practice Location

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