Provider Demographics
NPI:1487794772
Name:CAMDEN EYE CENTER
Entity type:Organization
Organization Name:CAMDEN EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER OF ORGANIZATION
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAGONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:856-365-1811
Mailing Address - Street 1:400 CHAMBERS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1405
Mailing Address - Country:US
Mailing Address - Phone:856-365-1811
Mailing Address - Fax:856-616-9259
Practice Address - Street 1:400 CHAMBERS AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1405
Practice Address - Country:US
Practice Address - Phone:856-365-1811
Practice Address - Fax:856-616-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2477807Medicaid
NJ521177Medicare ID - Type Unspecified