NPIMap

Organization Active NPI

Mt Holly Eye Physicians and Surgeons

  • Eyewear Supplier
  • Lumberton, NJ
National Provider Identifier
1104097880
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MA65455 Issued in NJ
Legal business name
MT HOLLY EYE PHYSICIANS AND SURGEONS
Practice address
1613 Route 38
Lumberton, NJ 08048-2921
Phone
(609) 267-5577
Fax
(609) 267-5570
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Harry Grossman, MD
Title
President
Phone
(609) 267-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MA65455 NJ Primary

Addresses

Primary practice location

1613 Route 38
Lumberton, NJ 08048-2921

Mailing address

1613 Route 38
Lumberton, NJ 08048-2921
Phone (609) 267-5577

Other names 1

  • MT HOLLY OPTICAL Other name

National Provider Directory

National Provider Directory
Tax ID family
Mt Holly Eye Physicians and Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1104097880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 ROUTE 38",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482921",
            "telephone_number": "609-267-5577",
            "fax_number": "609-267-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 ROUTE 38",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482921",
            "telephone_number": "609-267-5577",
            "fax_number": "609-267-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOLLY EYE PHYSICIANS AND SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-267-5577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "MA65455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT HOLLY OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.