Provider Demographics
NPI:1326662644
Name:MARGARET FACEY-CAMPBELL, OD, INC.
Entity Type:Organization
Organization Name:MARGARET FACEY-CAMPBELL, OD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:FACEY-CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-647-1185
Mailing Address - Street 1:3 ARGYLE DR
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5004
Mailing Address - Country:US
Mailing Address - Phone:609-647-1185
Mailing Address - Fax:
Practice Address - Street 1:1740 ROUTE 38
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2257
Practice Address - Country:US
Practice Address - Phone:609-702-5888
Practice Address - Fax:609-702-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1055801Medicaid