Dr Taras Walter Spivak, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Clayton, New Jersey. His current practice location is
128 N Delsea Dr, Clayton, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 881-4089.
Dr Taras Walter Spivak is licensed to practice in New Jersey (license number 27OA00290500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770589889.
Healthcare Provider's Profile
| Full Name | Dr Taras Walter Spivak |
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| Gender | Male |
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| Speciality | Optometrist - Corneal And Contact Management |
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| Location | 128 N Delsea Dr, Clayton, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770589889
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 12/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 8123056892
- Enrollment ID: I20050803000197
Medical Identifiers
Medical identifiers for Dr Taras Walter Spivak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770589889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152WC0802X | Optometrist - Corneal And Contact Management | 27OA00290500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Taras Walter Spivak is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Taras Walter Spivak, OD 128 N Delsea Dr, Clayton, NJ 08312-1602 Ph: (856) 881-4089 | Dr Taras Walter Spivak, OD 128 N Delsea Dr, Clayton, NJ 08312-1602 Ph: (856) 881-4089 |
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