Provider Demographics
NPI:1043257454
Name:COX, LINDA TROMBURG (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:TROMBURG
Last Name:COX
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:C
Other - Last Name:TROMBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:44 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-3897
Mailing Address - Country:US
Mailing Address - Phone:732-523-0318
Mailing Address - Fax:
Practice Address - Street 1:1722 NEW BEDFORD RD
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3870
Practice Address - Country:US
Practice Address - Phone:732-974-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA 004013152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3959007Medicaid
NJ603160Medicare ID - Type Unspecified
NJT93197Medicare UPIN