Provider Demographics
NPI:1134101256
Name:CAMPUS EYE GROUP ASC, LLC
Entity Type:Organization
Organization Name:CAMPUS EYE GROUP ASC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE/BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-587-2020
Mailing Address - Street 1:1700 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3536
Mailing Address - Country:US
Mailing Address - Phone:609-587-2020
Mailing Address - Fax:609-588-9545
Practice Address - Street 1:1700 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON SQ
Practice Address - State:NJ
Practice Address - Zip Code:08690-3536
Practice Address - Country:US
Practice Address - Phone:609-587-2020
Practice Address - Fax:609-588-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0001327000OtherAMERIHEALTH
003178OtherWELLCHOICE
1053208OtherHORIZON NJ HEALTH
01000313000OtherAMERICHOICE
0206675003OtherCIGNA
IL9975OtherHEALTHNET
0001372000OtherIBC/PA BLUE SHIELD
382411OtherUNITED HEALTHCARE
68834OtherAETNA
311026OtherHORIZON BC/BS
NJ5206006Medicaid
ANC1416OtherOXFORD
NJ5206006Medicaid
NJ490001338Medicare PIN