Paul L Vernon, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PAUL L VERNON, MD, PA

Practice address

2026 Briggs Rd
Suite B
Mount Laurel, NJ 08054-4601

Phone

(856) 235-1211

Fax

(856) 231-1149

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul L Vernon, MD

Title

Owner/President

Phone

(856) 235-1211

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1629266572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 BRIGGS ROAD",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544602",
            "telephone_number": "856-235-1211",
            "fax_number": "856-231-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 BRIGGS RD",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544601",
            "telephone_number": "856-235-1211",
            "fax_number": "856-231-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L VERNON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "856-235-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1629266572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 May 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.