Provider Demographics
NPI:1568507614
Name:HERSH, LEE A (OD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:A
Last Name:HERSH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1862
Mailing Address - Country:US
Mailing Address - Phone:609-567-7479
Mailing Address - Fax:609-567-0515
Practice Address - Street 1:80 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1862
Practice Address - Country:US
Practice Address - Phone:609-567-7479
Practice Address - Fax:609-567-0515
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA005486152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3772277000OtherPA-BCBS BLUE SHIELD PA (HIGHMARK)
NJ938180OtherEYEMED
PA3772277000OtherPA-BCBS HIGHMARK BLUE CROSSBLUE SHIELD OF PENNSYLVANIA
NJ0799277OtherAETNA
NJ3772277000OtherAMERIHEALH
PA3772277000OtherPA-BCBS HIGHMARK BLUE CROSSBLUE SHIELD OF PENNSYLVANIA
223517135OtherHORIZON BLUE CROSS BLUE SHIELD NJ
NJ0799277OtherAETNA