Advanced Eyecare and Laser Center PC
Organization Active NPI Ophthalmology Physician · Runnemede, NJ
NPI 1134485287 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1134485287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MA44005 (NJ)
- Legal business name
- ADVANCED EYECARE AND LASER CENTER PC
- Practice address
- 619 W Clements Bridge Rd
Runnemede, NJ 08078-1926 - Phone
- (856) 939-9111
- Fax
- (856) 939-9650
- NPI assigned
- Apr 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael J Yaros, M.D.
- Title
- Owner
- Phone
- (856) 939-9111
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120820000434 | NJ | Part B Supplier - Clinic/Group Practice | 5890941272 |
Receives reassigned benefits from 1 practitioner Practice locations: Berlin, NJ; Cherry Hill, NJ; Mullica Hill, NJ; Runnemede, NJ |
National Provider Directory
Locations
303 Kings Hwy S
Ste 2
Cherry Hill, NJ 08034
Phone (856) 354-1999
100 Brace Rd
Cherry Hill, NJ 08034
Phone (856) 354-1999
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
619 W Clements Bridge Rd
Runnemede, NJ 08078
Phone (856) 939-9111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | MA44005 | NJ | Yes |
Addresses
Primary practice location
619 W Clements Bridge Rd
Runnemede, NJ 08078-1926
Mailing address
619 W Clements Bridge Rd
Runnemede, NJ 08078-1926
Phone (856) 939-9111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2403404 | Medicaid | NJ |
Other providers in Runnemede, NJ
- Acme Markets Inc
- Acme Markets Inc
- Always Helping U Grow LLC
- American Mobility Products Inc.
- Margaret Ann Angelastro
- Ashok Patel MD PC
- Elizabeth Bauer
All providers in Runnemede, NJ · Ophthalmology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.