| Dr John Thomas Nutaitis, OD | |
| 
					1206 Route 72 W, Manahawkin, NJ 08050-2414  | |
| (609) 597-8087 | |
| (609) 597-7192 | 
| Full Name | Dr John Thomas Nutaitis | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 1206 Route 72 W, Manahawkin, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194775635 | NPI | - | NPPES | 
| 3467007 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00492101 (New Jersey) | Primary | 
| Provider Name | Southern Shores Eye Center, P.a. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1669421194 PECOS PAC ID: 4981683711 Enrollment ID: O20040715001060  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John Thomas Nutaitis, OD 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087  | Dr John Thomas Nutaitis, OD 1206 Route 72 W, Manahawkin, NJ 08050-2414 Ph: (609) 597-8087  | 
John M Garfield, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 525 Route 72 W, Walmart Vision Ctr, Manahawkin, NJ 08050 Phone: 609-978-7266  | |
Janice Kulba, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 525 Route 72 W, Walmart Vision Center, Manahawkin, NJ 08050 Phone: 609-978-7266  | |
Jonathan J Dorn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1206 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-8087 Fax: 609-597-7192  | |
Southern Shores Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-8087 Fax: 609-597-7192  | |
Grant Daniel Hirschberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 733 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-0250 Fax: 609-597-0252  | |
Manahawkin Vision Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 733 Route 72 W, Manahawkin, NJ 08050 Phone: 609-597-0250 Fax: 609-597-0252  |