Provider Demographics
NPI:1982133997
Name:DR. CYNTHIA L HAN AND ASSOCIATES
Entity Type:Organization
Organization Name:DR. CYNTHIA L HAN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-497-1001
Mailing Address - Street 1:3070 BRISTOL PIKE STE 2-220
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5361
Mailing Address - Country:US
Mailing Address - Phone:215-497-1001
Mailing Address - Fax:215-639-2486
Practice Address - Street 1:3320 BRUNSWICK AVE UNIT 130
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2432
Practice Address - Country:US
Practice Address - Phone:609-897-1036
Practice Address - Fax:609-897-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty