MEDICARE: DR. CYNTHIA L HAN AND ASSOCIATES

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

General Provider Information

NPI Number	:	1982133997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. CYNTHIA L HAN AND ASSOCIATES

Provider Business Mailing Address
First Line	:	3070 BRISTOL PIKE STE 2-220
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-5361
Country	:	US
Telephone Number	:	215-497-1001
Fax Number	:	215-639-2486

Provider Business Practice Location Address
First Line	:	3320 BRUNSWICK AVE UNIT 130
Second Line	:
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2432
Country	:	US
Telephone Number	:	609-897-1036
Fax Number	:	609-897-1141

Authorized Official
Title or Position	:	BILLING & CREDENTIALING DIRECTOR
Name	:	ROB LEVIN
Credential	:
Telephone Number	:	215-497-1001

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	06/05/2017

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