Maimone, Terrylee
Maimone, Terrylee is an sole proprietor health care provider with primary practice located at 7000 Boulevard East , Guttenberg NJ 07093-4818. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Maimone, Terrylee can be contacted via phone (201) 854-3489.Contact Information
Primary practice address
7000 Boulevard East
Guttenberg NJ 07093-4818
Phone: (201) 854-3489
Fax: (201) 854-3298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00490500 | New Jersey |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 27TO00040600 | New Jersey |
Profile Details
| NPI number | 1265436091 |
|---|---|
| LBN Legal business name | Maimone, Terrylee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Apr 2nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265436091 | NPPES |
| New Jersey | Other | TM23689 | SPECTERA |
| New Jersey | Other | 518967 | SPECTERA |
| New Jersey | Other | 223828037 | SPECTERA |
| New Jersey | Other | 2319156 | SPECTERA |
| New Jersey | Other | 177820 | SPECTERA |
| New Jersey | Other | 2K3806 | SPECTERA |
| New Jersey | MEDICAID | 6018700 | SPECTERA |
| New Jersey | Other | 223828037 | SPECTERA |
| New Jersey | Other | P2865102 | SPECTERA |
| New Jersey | Other | 555558 | SPECTERA |
| New Jersey | Other | C228E1 | SPECTERA |
| New Jersey | Other | 2099723 | SPECTERA |
| New Jersey | Other | 223828037 | SPECTERA |
| New Jersey | Other | 4495272 | SPECTERA |
| New Jersey | Other | 5452503 | SPECTERA |
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