Iacoponi, Louis R
Iacoponi, Louis R is an sole proprietor health care provider with primary practice located at 1301B N Kings Hwy , Cherry Hill NJ 08034-1918. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iacoponi, Louis R can be contacted via phone (856) 795-5656.Contact Information
Primary practice address
1301B N Kings Hwy
Cherry Hill NJ 08034-1918
Phone: (856) 795-5656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 270A00467400 | New Jersey |
Profile Details
| NPI number | 1164523874 |
|---|---|
| LBN Legal business name | Iacoponi, Louis R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Dec 29th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164523874 | NPPES |
| New Jersey | MEDICAID | 2435705 |
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