MEDICARE: NEW ERA OPTICAL INC

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	I3-1235	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001483068	OTHER	DE	AMEIHEALTH PPO
2	2173496000	OTHER	DE	AMERIHEALTH HMO
3	915441	OTHER	DE	BLOCK VISION
4	190965	OTHER	DE	COVENTRY
5	DE1235	OTHER	DE	EYEMED VISION
6	DE81235	OTHER	DE	VISION BENEFITS OF AMERIC
7	7615486	OTHER	DE	AETNA PPO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	42708	OTHER	DE	DAVIS
10	375987	OTHER	DE	MAMSI
11	18082	OTHER	DE	SPECTERA
12	3220693	OTHER	DE	AETNA HMO

General Provider Information

NPI Number	:	1649240623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ERA OPTICAL INC

Provider Business Mailing Address
First Line	:	350 NEW CHURCHMANS RD
Second Line	:	SUITE B
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-3112
Country	:	US
Telephone Number	:	302-325-0180
Fax Number	:	302-325-0185

Provider Business Practice Location Address
First Line	:	350 NEW CHURCHMANS RD
Second Line	:	SUITE B
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-3112
Country	:	US
Telephone Number	:	302-325-0180
Fax Number	:	302-325-0185

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ELIZABETH BESSIE CLUFF
Credential	:	O.D.
Telephone Number	:	302-325-0180

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	06/08/2010

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Directions to “NEW ERA OPTICAL INC ” Practice Location

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