Active NPI
George Edward Du Bois
- Optician
- Turnersville, NJ
National Provider Identifier
1871628263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D-1002
- Practice address
- 4350 Route 42
Turnersville, NJ 08012-1713 - Phone
- (856) 728-1222
- Fax
- (856) 728-0359
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D-1002 | NJ | Primary |
Addresses
Primary practice location
4350 Route 42
Turnersville, NJ 08012-1713
Mailing address
4350 Route 42
Turnersville, NJ 08012-1713
Phone (856) 728-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1002 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871628263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 ROUTE 42",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080121713",
"telephone_number": "856-728-1222",
"fax_number": "856-728-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 ROUTE 42",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080121713",
"telephone_number": "856-728-1222",
"fax_number": "856-728-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU BOIS",
"first_name": "GEORGE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "D-1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turnersville, NJ
- Nilesh M Doshi, MD
- DPSP Healthcare Dba Everyone'S Personal Care Agency
- Dr Medical Billing and Consulting, LLC
- Dragonfly Health Turnersville
- DRS.Medina and Margallo Pediatric Associates
- Jessica Duncan, RD
- Penelope C Dunkelberger, RPH
- Eastern Regional Pain MGT
- Eastern Regional Pain MGT, PC
- Kelly L Ecker, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.