Provider Demographics
NPI:1326685314
Name:O'SHEA, ANNA KATHRYN NEFF
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:KATHRYN NEFF
Last Name:O'SHEA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 P AVE
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-2130
Mailing Address - Country:US
Mailing Address - Phone:717-419-3785
Mailing Address - Fax:
Practice Address - Street 1:11 BETHEL RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-1601
Practice Address - Country:US
Practice Address - Phone:717-419-3785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003767152W00000X
NJ27OA00694100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist