Retina and Diabetic Eye Specialists PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RETINA AND DIABETIC EYE SPECIALISTS PA

Practice address

48 N. Broadway
Pennsville, NJ 08070-1754

Phone

(610) 690-4900

Fax

(610) 690-1659

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Angelo Vacirca

Title

Director of Operation

Phone

(610) 690-4900

Specialties & licenses 1

Addresses

Tax ID family

Retina Diabetic Eye Spe2 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.

• Moore Eye Care, P.C.

  • Ophthalmology Physician
  • Malvern, PA
  • NPI 1215651229
  NPD tax ID

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1194725408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STATE ROAD",
            "address_2": "SUITE 206",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641232",
            "telephone_number": "610-690-4900",
            "fax_number": "610-690-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N. BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701754",
            "telephone_number": "610-690-4900",
            "fax_number": "610-690-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA AND DIABETIC EYE SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "VACIRCA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "610-690-4900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.