Provider Demographics
NPI:1700879921
Name:NAIDS, RICHARD ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ERIC
Last Name:NAIDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 AUTUMN LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1526
Mailing Address - Country:US
Mailing Address - Phone:215-364-6818
Mailing Address - Fax:
Practice Address - Street 1:225 SUNSET RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1109
Practice Address - Country:US
Practice Address - Phone:609-877-2800
Practice Address - Fax:609-877-1813
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033798E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001118060Medicaid
PA0110141000OtherIBC INDIVIDUAL ID
PA1173655OtherCIGNA INDIVIDUAL ID
PA3615274OtherAETNA INDIVIDUAL ID
PAP00166303OtherRR MEDICARE INDIVIDUAL
PA510824Medicare PIN
PAP00166303OtherRR MEDICARE INDIVIDUAL