Provider Demographics
NPI:1316312242
Name:KAMAT EYE, LLC
Entity type:Organization
Organization Name:KAMAT EYE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-235-1211
Mailing Address - Street 1:2026 BRIGGS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4601
Mailing Address - Country:US
Mailing Address - Phone:856-235-1211
Mailing Address - Fax:856-235-1159
Practice Address - Street 1:2026 BRIGGS RD
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4601
Practice Address - Country:US
Practice Address - Phone:856-235-1211
Practice Address - Fax:856-235-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08531100207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1205886421OtherNPI
1205886421OtherNPI