| Organization Name: | OPHTHALMIC ASSOCIATES, PA |
| NPI Number: | 1679750376 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONI M. EBNER (OPTICIAN) |
| Mailing Address: | 2835 S. Delsea Drive Vineland |
| State: | NJ US |
| Postal Code: | 083607079 |
| Phone Number: | 8566910504 |
| Fax Number: | 8562051721 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 3166 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |