Independent Therapeutic Doctors Of Optometry
LBN: Independent Therapeutic Doctors Of Optometry
Independent Therapeutic Doctors Of Optometry is an health care organization with primary practice located at 2100 Paramus Park Mall , Paramus NJ 07652-3546. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Independent Therapeutic Doctors Of Optometry can be contacted via phone (201) 291-9136, or through Morillo, Diego X via phone (201) 206-3409.
Contact Information
Primary practice address
2100 Paramus Park Mall
Paramus NJ 07652-3546
Phone: (201) 291-9136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27AO00566203 | New Jersey |
Profile Details
| NPI number | 1669705323 |
|---|---|
| LBN Legal business name | Independent Therapeutic Doctors Of Optometry |
| DBA Doing business as | |
| Authorized official | Morillo, Diego X Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Sep 14th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669705323 | NPPES |
| Other | OP1793 | EYEMED | |
| MEDICAID | 827708 | EYEMED | |
| Other | 09560 | EYEMED | |
| Other | 57373 | EYEMED |
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