Provider Demographics
NPI:1013286418
Name:JAMES CIMBAK, LLC
Entity type:Organization
Organization Name:JAMES CIMBAK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CIMBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-619-2292
Mailing Address - Street 1:701 LIMEKILN PIKE STE 4
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2823
Mailing Address - Country:US
Mailing Address - Phone:215-619-2292
Mailing Address - Fax:215-619-2804
Practice Address - Street 1:701 LIMEKILN PIKE STE 4
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2823
Practice Address - Country:US
Practice Address - Phone:215-619-2292
Practice Address - Fax:215-619-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty