Provider Demographics
NPI:1831336833
Name:MICHAEL E. O'HARA,OD
Entity type:Organization
Organization Name:MICHAEL E. O'HARA,OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-927-3717
Mailing Address - Street 1:235 SHORE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2631
Mailing Address - Country:US
Mailing Address - Phone:609-927-3717
Mailing Address - Fax:609-927-3774
Practice Address - Street 1:235 SHORE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2631
Practice Address - Country:US
Practice Address - Phone:609-927-3717
Practice Address - Fax:609-927-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00471300152WC0802X, 152WL0500X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP2695448OtherOXFORD HEALTH
NJ2K7893OtherHEALTH NET
NJE98375OtherAMERIHEALTH ADMINISTRATORS
NJ0420780000OtherAMERIHEALTH
NJ4501869OtherAETNA
NJ1011199OtherCIGNA
NJP2695448OtherOXFORD HEALTH
NJE98375OtherAMERIHEALTH ADMINISTRATORS