Medical Eye Associates of Mt Laurel PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07384800 Issued in NJ

Legal business name

MEDICAL EYE ASSOCIATES OF MT LAUREL PC

Practice address

303 Fellowship Rd
Suite 100
Mount Laurel, NJ 08054-1212

Phone

(856) 234-4590

Fax

(856) 231-9963

NPI assigned

Apr 9, 2012

Last updated

Apr 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chirag Shah, M.D.

Title

President/Owner

Phone

(609) 649-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1255697876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364301",
            "telephone_number": "513-354-5808",
            "fax_number": "513-354-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FELLOWSHIP RD",
            "address_2": "SUITE 100",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541212",
            "telephone_number": "856-234-4590",
            "fax_number": "856-231-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE ASSOCIATES OF MT LAUREL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-649-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07384800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca N McLaughlin
• Meghan McMaster, LPC, NCC
• James McMullen
• Meadowview
• Sydnee Means, MSN, APRN, FNP-BC
• Medical Rehabilitation Consultants,LLC
• Amya Sanaa Meekins
• Sherin Mary Thomas Meledathu, D.O.
• Jason Melnyk, OTR/L,MS, CEAS II
• Alfred Donald Meltzer, M.D.

• Ophthalmology Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.