Provider Demographics
NPI:1144576729
Name:CHARLES M. CUMMINS, OD, PA
Entity Type:Organization
Organization Name:CHARLES M. CUMMINS, OD, PA
Other - Org Name:VISIONWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-568-7680
Mailing Address - Street 1:560 HAMILTON COMMONS DR. #18A
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-0000
Mailing Address - Country:US
Mailing Address - Phone:609-383-8614
Mailing Address - Fax:
Practice Address - Street 1:560 HAMILTON COMMONS
Practice Address - Street 2:SUITE #18A
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-3150
Practice Address - Country:US
Practice Address - Phone:609-383-8614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier