Optometrist
MIA DECAPUA OD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659044303 · enumerated 2021-07-28 · record updated 2025-02-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 714 STATION AVE, HADDON HEIGHTS, NJ, 08035-1636 (856) 546-8686 Fax (856) 546-0959 Google Maps Apple Maps OpenStreetMap
- Mailing address 420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ, 07974-2736 (856) 691-8188 Fax (856) 691-0421 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 27OA00706700 NJ
In this directory
Locations and evidence
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Practice location
HADDON HEIGHTS, NJ, 080351636
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.